Christa D Walters, APRN | |
311 W High St, Lebanon, KY 40033-1427 | |
(270) 692-2774 | |
Not Available |
Full Name | Christa D Walters |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 311 W High St, Lebanon, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710549282 | NPI | - | NPPES |
7100660330 | Medicaid | KY | |
14627550 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3013503 (Kentucky) | Primary |
Entity Name | Cumberland Family Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
Mailing Address | Practice Location Address |
---|---|
Christa D Walters, APRN Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Christa D Walters, APRN 311 W High St, Lebanon, KY 40033-1427 Ph: (270) 692-2774 |
Abigail Smothers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 312 W High St, Lebanon, KY 40033 Phone: 270-692-9559 Fax: 270-692-9236 | |
Derhonda Mae Thompson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 W High St, Lebanon, KY 40033 Phone: 270-692-9559 | |
Beverly Ann Holbert, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 325 W Walnut St, Lebanon, KY 40033 Phone: 270-699-9500 Fax: 270-699-9550 | |
Mrs. Anne C Morley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 325 W Walnut St Ste 600, Lebanon, KY 40033 Phone: 270-699-9500 | |
Mrs. Delana Michelle Connors, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 West High Street, Lebanon, KY 40033 Phone: 270-215-1408 Fax: 270-297-4641 | |
Brittany Nicole Bright, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 N Depot St, Lebanon, KY 40033 Phone: 270-465-3561 | |
Ashley B Knopp, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3345 Highway 208, Lebanon, KY 40033 Phone: 844-435-0900 Fax: 270-858-4059 |