| Trinity Family Health, Pllc | |
|
205 S Kentucky Ave Corbin KY 40701-1533 | |
| (785) 577-3727 | |
| Not Available |
| Full Name | Trinity Family Health, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 205 S Kentucky Ave, Corbin, Kentucky |
| Authorized Official Name and Position | Rebecca Ann Day (OWNER) |
| Authorized Official Contact | 7855773727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Family Health, Pllc Po Box 255 Corbin KY 40702-0255 Ph: (785) 577-3727 | Trinity Family Health, Pllc 205 S Kentucky Ave Corbin KY 40701-1533 Ph: (785) 577-3727 |
| NPI Number | 1942708706 |
|---|---|
| Provider Enumeration Date | 01/26/2018 |
| Last Update Date | 02/27/2018 |
| Medicare PECOS PAC ID | 2567726748 |
|---|---|
| Medicare Enrollment ID | O20180516002026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942708706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (Kentucky) | Primary |
| Provider Name | Rebecca Ann Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376941534 PECOS PAC ID: 6800112459 Enrollment ID: I20150226001019 |
| Provider Name | Whitney Jeree Gann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194371419 PECOS PAC ID: 3577893718 Enrollment ID: I20191001002002 |
| Provider Name | Jessica Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346870458 PECOS PAC ID: 5698190882 Enrollment ID: I20200805001333 |
| Provider Name | Jenniffer Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588289060 PECOS PAC ID: 4688094386 Enrollment ID: I20201019002490 |
| Provider Name | Marcie Np Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194328831 PECOS PAC ID: 3678973906 Enrollment ID: I20210608002776 |
| Provider Name | Tammy Guffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649949645 PECOS PAC ID: 5193113231 Enrollment ID: I20211022001270 |
| Provider Name | Jody R Deltoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215604434 PECOS PAC ID: 2163811829 Enrollment ID: I20211118000567 |
| Provider Name | Kathryn L Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831854934 PECOS PAC ID: 3072905306 Enrollment ID: I20220119001693 |
| Provider Name | Katie R Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336805662 PECOS PAC ID: 7113310079 Enrollment ID: I20220217000834 |
| Provider Name | Farid Asayesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851096069 PECOS PAC ID: 2264877182 Enrollment ID: I20240301002579 |
| Provider Name | Lauren Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144910365 PECOS PAC ID: 9436513215 Enrollment ID: I20240322002449 |
| Provider Name | Lindsay Renee Bertrand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073803466 PECOS PAC ID: 6002254158 Enrollment ID: I20240409001200 |
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