JEFFREY PRATER (NPI# 1659401461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659401461 |
| Entity Type | Individual |
| Full Name | JEFFREY PRATER |
| Credential | NP |
| Practice Address |
110 Helm St Elizabethtown KY 42701 |
| Mailing Address |
10101 Linn Station Rd Ste 600 Louisville KY 40223-3818 |
| Practice Telephone | 2703123861 |
| Mailing Telephone | 5025898600 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2019-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3007768 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71003451A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | INDIANA LIC | 71003451A | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Helm St, Elizabethtown, KY 42701 | 2703123861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245473321 | Jeffrey A Prater | Specialist/Technologist, Other | 1919 State St Ste 104, New Albany, IN 47150-6802 | 2009-04-20 |
| 1073522363 | Jeffrey Scott Prater | Psychologist | 719 Fremont Ave, South Pasadena, CA 91030-6019 | 2006-08-05 |
| Street Address |
110 HELM ST |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851942320 | Marian Grant | Counselor | 110 Helm St, Elizabethtown, KY 42701-1496 | 2019-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235792441 | Behavioral Health Plus Pllc | Nurse Practitioner | 110 Chase Way Ste 3, Elizabethtown, KY 42701-7827 | 2019-04-15 |
| 1487168936 | Aigne Mental Wellness | Nurse Practitioner | 2608 Ring Rd Ste 107, Elizabethtown, KY 42701-7945 | 2017-11-20 |
| 1134663925 | Advanced Behavioral Health, Pllc | Nurse Practitioner | 110 Helm Street, Elizabethtown, KY 42701-1496 | 2016-12-13 |
| 1952357774 | Ingrid Medley | Nurse Practitioner | 151 Drexler Cir, Ste 1, Elizabethtown, KY 42701-7843 | 2006-05-25 |
| 1841259272 | Regina Lynn Woods | Nurse Practitioner | 2608 Ring Rd Ste B107, Elizabethtown, KY 42701 | 2006-03-23 |
| 1720688005 | Kevin Luke Houser | Nurse Practitioner | 120 Helmwood Plaza Dr Ste 103, Elizabethtown, KY 42701-3459 | 2020-10-27 |
| 1548868268 | Cheri Michelle Frederick | Nurse Practitioner | 2000 Ring Rd, Elizabethtown, KY 42701-9454 | 2020-10-14 |
| 1558976803 | Kristen Howell | Nurse Practitioner | 2000 Ring Rd, Elizabethtown, KY 42701-9454 | 2020-09-14 |
| 1457992570 | Marinda Moore Schneider | Nurse Practitioner | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2019-09-30 |
| 1538620356 | Amanda Medley | Nurse Practitioner | 151 Drexler Cir, Elizabethtown, KY 42701-7843 | 2019-03-26 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on JEFFREY PRATER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.