Christie D Herald (NPI# 1124093026, PAC ID# 7618909979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1124093026 |
PAC ID by PECOS | 7618909979 |
Professional Enrollment ID | I20050907000904 |
Full Name | Christie D Herald |
Organization Legal Name | PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC |
Address |
10897s Ky Hwy 15 Scuddy KY 41760-9033 |
Phone Number | 6064762274 |
Gender | F |
Credential | NP |
Graduation Year | 2005 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3971415993 |
Number of Group Practice Members | 42 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180029 | HAZARD ARH REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
10897s Ky Hwy 15, Scuddy, KY 41760-9033 | 6064762274 | PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC |
Organization Legal Name | PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC |
Physicians | 40 |
Name | Specialty | Organization | Address |
---|---|---|---|
Candida Dixon | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 58 W Hwy 80e 2, Hindman, KY 41822 |
Rita Nicole Fletcher | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 21992 Main St, Hyden, KY 41749-8567 |
Beverly P Neace | Physician Assistant | Primary Care Centers of Eastern Kentucky, LLC | 101 Town and Country Ln, Suite 100, Hazard, KY 41701-9524 |
Joann Carroll | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 101 Town and Country Ln, Suite 100, Hazard, KY 41701-9524 |
Christina Martin | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 101 Town and Country Ln, Suite 100, Hazard, KY 41701-9524 |
Rhonda K Hughes | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 21992 Main St, Hyden, KY 41749-8567 |
Leslie Deaton | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 101 Town and Country Ln, Suite 100, Hazard, KY 41701-9524 |
Shannon Herald Combs | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 101 Town and Country Ln, Suite 100, Hazard, KY 41701-9524 |
Crystal D Gibson | Physician Assistant | Primary Care Centers of Eastern Kentucky, LLC | 101 Town and Country Ln, Suite 100, Hazard, KY 41701-9524 |
Sherry L Miller | Physician Assistant | Primary Care Centers of Eastern Kentucky, LLC | 101 Town and Country Ln, Suite 100, Hazard, KY 41701-9524 |
Street Address |
10897S KY HWY 15 |
City | SCUDDY |
State | KY |
Zip | 41760-9033 |
City | SCUDDY |
Zip Code | 41760 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SCUDDY + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.