POLLY JOHNSON (NPI# 1760793285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760793285 |
| Entity Type | Individual |
| Full Name | POLLY JOHNSON |
| Credential | APRN |
| Practice Address |
59 Cowtown Rd Hindman KY 41822-9120 |
| Practice Telephone | 6067853175 |
| Practice Fax Number | 6067859968 |
| Mailing Telephone | 6067853175 |
| Mailing Fax Number | 6067859968 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2015-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3006484 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100121060 | 05 | |
| KY | KENTUCKY LICENSE | 3006484 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659845311 | Polly Anna Johnson | Specialist/Technologist | 11470 88th Ave, Seminole, FL 33772-3602 | 2019-01-16 |
| 1760957161 | Polly Johnson | Social Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2018-10-11 |
| Street Address |
59 COWTOWN RD |
| City | HINDMAN |
| State | KY |
| Zip Code | 41822-9120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366611832 | University of Kentucky | Pharmacy | 59 Cowtown Rd, Hindman, KY 41822 | 2008-02-28 |
| 1154875086 | Jaime Janeille Fields | Pharmacist | 59 Cowtown Rd, Hindman, KY 41822-9120 | 2016-08-09 |
| 1831326115 | North Fork Valley Community Health Board, Inc. | Dentist | 59 Cowtown Rd, Hindman, KY 41822-9120 | 2009-06-15 |
| 1497907992 | University of Kentucky | Dentist | 59 Cowtown Rd, Hindman, KY 41822-9120 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326316100 | Lisa Triplett-short, Dmd, Psc | Dentist | 1970 Highway 160 S, Hindman, KY 41822 | 2011-12-07 |
| 1457633687 | Tcct LLC | Pharmacy | 90 B Roger Combs Blvd, Hindman, KY 41822 | 2011-09-14 |
| 1497071245 | Paula Mosley | Counselor | 125 Cowtown Road, Hindman, KY 41822 | 2010-04-19 |
| 1164657797 | Laferty Chiropractic, Pllc | Chiropractor | 792 South Hwy 160, Hindman, KY 41822 | 2009-05-27 |
| 1871763581 | East Kentucky Health Service | Clinic/Center | 566 Hwy 899, Hindman, KY 41822 | 2008-03-10 |
| 1356535611 | Kentucky River District Health Department | Public Health or Welfare | 1966 S. Hwy 160, Hindman, KY 41822 | 2007-08-30 |
| 1457545808 | Kentucky River District Health Department | Public Health or Welfare | 238 Highway 160, Hindman, KY 41822 | 2007-08-29 |
| 1275731051 | Kentucky River District Health Department | Public Health or Welfare | 76 Patriot Lane, Hindman, KY 41822 | 2007-07-03 |
| 1467650242 | Kentucky River District Health Department | Public Health or Welfare | 875 West Main Street, Hindman, KY 41822 | 2007-07-03 |
| 1821202771 | Appalachian Regional Healthcare, Inc | Clinic/Center | Rt 550 Cowtown Rd, Hindman, KY 41822 | 2007-05-10 |
| Find all providers in zip 41822 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306293808 | Tansy Lee Hall | Nurse Practitioner | 566 Highway 899, Hindman, KY 41822-8955 | 2016-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on POLLY JOHNSON.
| 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.