JENNIFER R. HAMBLIN (NPI# 1952963282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952963282 |
| Entity Type | Individual |
| Full Name | JENNIFER R. HAMBLIN |
| Credential | APRN, PMHNP |
| Practice Address |
292 Glades Rd Ste 8 Berea KY 40403-1368 |
| Mailing Address |
518 Dean Rd Mc Kee KY 40447-9071 |
| Practice Telephone | 8594287862 |
| Practice Fax Number | 8599997869 |
| Mailing Telephone | 8593141150 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3013571 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | APRN LICENSE | 3013571 | 01 |
| KY | 7100613090 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 292 Glades Rd Ste 8, Berea, KY 404031368 | 8594287862 | 8599997869 |
| 451 Big Hill Ave Ste 5, Richmond, KY 404752596 | 8594287862 | 8599997869 |
| 518 Dean Rd, Mc Kee, KY 404479071 | 8593141150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821645052 | Jennifer Hamblin | Dietitian, Registered | 800 W Highway 71, Marble Falls, TX 78654-8606 | 2019-08-22 |
| 1629457403 | Jennifer Hamblin | Physician Assistant | 300 S Pierce St, El Cajon, CA 92020-4124 | 2015-05-26 |
| 1104009026 | Jennifer Ann Hamblin | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2007-12-13 |
| Street Address |
292 GLADES RD STE 8 |
| City | BEREA |
| State | KY |
| Zip Code | 40403-1368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659420701 | Rachel V Fraley | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2007-01-09 |
| 1811509235 | Casey Farris | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2020-08-18 |
| 1114553773 | Elaine Lewis | Social Worker | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2020-03-16 |
| 1447809736 | Amber Savannah Rose | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-09-09 |
| 1639739824 | Ashleigh Brooke Martin | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-06-19 |
| 1902379761 | Elisha Stuppy | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-01-04 |
| 1245703214 | Debra Carrier | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-01-02 |
| 1083182570 | Laura Weitkamp | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2018-11-02 |
| 1912474487 | George Sparks | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2018-11-01 |
| 1649775248 | Karissa L Anderson | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2018-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| 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 |
|---|---|---|---|---|
| 1376600635 | Annie Ruth Bland | Nurse Practitioner | 132 Mini Mall Drive, Berea Health Ministry, Inc., Berea, KY 40403-1170 | 2007-01-03 |
| 1811465594 | Mary Canonico | Nurse Practitioner | 202 E Bagley Rd, Berea, OH 44017-2058 | 2018-11-11 |
| 1922196963 | Rachael Hovermale | Nurse Practitioner | 305 Estill St, Berea, KY 40403-1742 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1861099269 | Bowling Green Psychiatry | Nurse Practitioner | 1911 Scottsville Rd Ste B, Bowling Green, KY 42104-3303 | 2020-10-08 |
| 1811594385 | Christine Young | Nurse Practitioner | 6804 Bainbridge Ct, Louisville, KY 40228-2335 | 2020-10-07 |
| 1578170890 | Rebecca O'hair | Nurse Practitioner | 500 Thames Cir, Nicholasville, KY 40356-9219 | 2020-09-30 |
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1235749581 | Melissa K Young-flynn | Nurse Practitioner | 713 Millpond Rd, Lexington, KY 40514-1570 | 2020-08-02 |
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1649889932 | Hannah Rose Wilson Gibbs | Nurse Practitioner | 326 Roland Avenue, Owenton, KY 40359 | 2020-07-23 |
| 1962020875 | Sheryl List | Nurse Practitioner | 2103 Madison Dr, Hebron, KY 41048-7399 | 2020-07-07 |
| 1619594751 | Whitney Mariah Rizzo | Nurse Practitioner | 2774 Petros Browning Rd, Rockfield, KY 42274-9762 | 2020-07-05 |
| Find all providers with the same taxonomy | ||||
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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.