Ruby Combs, RN

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Lebanon, KY

NPI 1003247941 · NPPES record last updated Dec 3, 2013

Key facts

NPI
1003247941
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
1114224 (KY)
Practice address
65 Old Springfield Rd
Lebanon, KY 40033-9185
Phone
(270) 403-8625
NPI assigned
Dec 3, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1114224KYMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Communicare Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 1114224 KY Yes

Addresses

Primary practice location

65 Old Springfield Rd
Lebanon, KY 40033-9185

Mailing address

65 Old Springfield Rd
Lebanon, KY 40033-9185
Phone (270) 403-8625

Other providers in Lebanon, KY

All providers in Lebanon, KY · Psychiatric/Mental Health Registered Nurse in Kentucky

Sources for this page

Verify at the official NPI Registry.