1025 HEALTH, LLC (NPI# 1891303368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891303368 |
| Entity Type | Organization |
| Organization Name | 1025 HEALTH, LLC |
| Practice Address |
110 Hardin Ln Somerset KY 42503-3818 |
| Practice Telephone | 6064519748 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | MR. ROBERT JOHNSON (NP) |
| Authorized Official Telephone | 6064519748 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | Y |
| Parent Organization Name | 1104270 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1417467010 | 05 |
| Street Address |
110 HARDIN LN |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174527956 | Sanaa Abdel-rahman Mahmoud | Allergy & Immunology | 110 Hardin Ln, Ste 3, Somerset, KY 42503-3818 | 2005-06-09 |
| 1568898880 | Megan Weatherford | Psychologist | 110 Hardin Ln, Somerset, KY 42503-3818 | 2013-09-18 |
| 1750678728 | Pulmonary and Sleep Associates LLC | Nurse Practitioner | 110 Hardin Ln, Suite 10, Somerset, KY 42503-3818 | 2011-06-29 |
| 1144358391 | Mountainview Behavioral & Neuroscience Center LLC | Psychiatry & Neurology | 110 Hardin Ln, Suite 1, Somerset, KY 42503-3818 | 2007-03-01 |
| 1407993074 | Lake Cumberland Gastroenterology and Internal Medicine Assoc. Inc. | Nurse Practitioner | 110 Hardin Ln, Suite 9, Somerset, KY 42503-3818 | 2007-01-31 |
| 1902958887 | Susan Ballou Gibson | Dentist | 110 Hardin Ln, Suite 2, Somerset, KY 42503-3818 | 2007-01-18 |
| 1245329069 | Mohammad Afzal | Internal Medicine | 110 Hardin Ln, Suite 2-b, Somerset, KY 42503-3818 | 2006-10-12 |
| 1447349329 | Khalid Iqbal | Internal Medicine | 110 Hardin Ln, Suite 9, Somerset, KY 42503-3818 | 2006-10-11 |
| 1982793790 | Anjum Iqbal | Internal Medicine | 110 Hardin Ln, Suite 9, Somerset, KY 42503-3818 | 2006-10-11 |
| 1588760706 | Robina M Bokhari | Psychiatry & Neurology | 110 Hardin Ln, Suite #1, Somerset, KY 42503-3818 | 2006-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144830159 | Alicia Allana Henry | Nurse Practitioner | 164 Mettlers Rd, Somerset, NJ 08873-7210 | 2020-08-04 |
| 1972121366 | Atiya Kai Lamptey | Nurse Practitioner | 174 Scobee Ln, Somerset, NJ 08873-1700 | 2020-07-11 |
| 1477991537 | Mildred B Cruz | Nurse Practitioner | 3 Alton Dr, Somerset, NJ 08873-6414 | 2013-06-11 |
| 1457652349 | Joy Paran Camarillo | Nurse Practitioner | 100 Franklin Square Dr Ste 201, Somerset, NJ 08873-4109 | 2010-11-08 |
| 1316136112 | Margaret Rose Ahmed | Nurse Practitioner | 33 Clyde Road, Suites 105-106, Somerset, NJ 08873-0532 | 2007-10-17 |
| 1962609909 | Dorothy Ozurumba | Nurse Practitioner | 1075 Easton Ave Ste 11-258, Somerset, NJ 08873-1648 | 2007-07-02 |
| 1528197977 | Mary A. Laves | Nurse Practitioner | 224 Osborne Ct, Somerset, NJ 08873-6020 | 2007-03-03 |
| 1689284895 | Melissa Rene' Aker | Nurse Practitioner | 402 Bogle St Ste 2, Somerset, KY 42503-2870 | 2020-08-03 |
| 1417467010 | Robert Johnson | Nurse Practitioner | 104 Hardin Ln Ste A, Somerset, KY 42503 | 2017-10-09 |
| 1568824852 | Natacha Sylney | Nurse Practitioner | 1527 State Route 27, Somerset, NJ 08873-3979 | 2016-03-24 |
| Find all providers in SOMERSET | ||||
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| 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.