Active NPI
Paula Jenell Winchester, MA
- Hearing Instrument Specialist
- Corbin, KY
National Provider Identifier
1235574575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1009
- Practice address
- 109 N Main St
Corbin, KY 40701-1449 - Phone
- (606) 528-0900
- NPI assigned
- Apr 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1009 | KY | Primary |
Addresses
Primary practice location
109 N Main St
Corbin, KY 40701-1449
Mailing address
PO Box 1262
Corbin, KY 40702-1262
Phone (606) 528-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46-0794898 | Other | KY | TAX IDENTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1009 | KY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522368000000",
"number": "1235574575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1262",
"city": "CORBIN",
"state": "KY",
"postal_code": "407021262",
"telephone_number": "606-528-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N MAIN ST",
"city": "CORBIN",
"state": "KY",
"postal_code": "407011449",
"telephone_number": "606-528-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINCHESTER",
"first_name": "PAULA",
"middle_name": "JENELL",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-30",
"last_updated": "2018-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "KY",
"license": "1009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "46-0794898",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.