Robert A Banta, ARNP

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

643P Issued in KY

Practice address

101 Stonecrest Rd
Suite 1
Shelbyville, KY 40065-8169

Phone

(502) 633-2233

Fax

(502) 633-3833

NPI assigned

May 13, 2010

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2010.

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1215255336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 STONECREST RD",
            "address_2": "SUITE 1",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658169",
            "telephone_number": "502-633-2233",
            "fax_number": "502-633-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 STONECREST RD",
            "address_2": "SUITE 1",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658169",
            "telephone_number": "502-633-2233",
            "fax_number": "502-633-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTA",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "KY",
            "license": "643P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Layal Atieh
• Jessica Eden Aylor, MOT, OTR/L
• Ashley Rennee Badgett
• Angela Baker
• Curtis Wayne Baker, ATC, CSCS
• Baptist Health Medical Group Inc
• Baptist Health Medical Group Inc
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• Jean R Barlow
• Rachel Barnes

• All providers in Shelbyville, KY
• Family Health Clinical Nurse Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.