Carolyn Hare, A.R.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3005451 Issued in KY

Practice address

321 Ringgold Rd
Somerset, KY 42503-3900

Phone

(606) 451-1936

Fax

(270) 651-1805

NPI assigned

Jan 2, 2008

Last updated

Feb 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Gim of Kentucky PLLC

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1326411026

  Family

  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• Carolyn Hare, Arnp

  dba Geriatric Health and Wound Care Services

  • Skilled Nursing Facility
  • Sevierville, TN
  • NPI 1407090855

  Nurse Practitioner

  NPD (past) Authorized official
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Lily Creek Medical Group, PSC

  • Internal Medicine Physician
  • Russell Springs, KY
  • NPI 1205987542

  Nurse Practitioner

  NPD (past)
• Nexus Lab Inc

  • Clinical Medical Laboratory
  • Columbia, KY
  • NPI 1447581558
  NPD (past)
• Physicians Express Care Billing

  dba Dr. Amjad Ali-Rheumatology

  • Rheumatology Physician
  • London, KY
  • NPI 1922244201
  NPD (past)
• Community Wellness Partners, PLLC

  • Nurse Practitioner
  • Knoxville, TN
  • NPI 1427872290
  NPD (past)
• Heritage at S Peters Inc

  dba Heritage Assisted Living

  • Assisted Living Facility
  • Knoxville, TN
  • NPI 1164070454
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1255516969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 RINGGOLD RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033900",
            "telephone_number": "606-451-1936",
            "fax_number": "270-651-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 RINGGOLD RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033900",
            "telephone_number": "606-451-1936",
            "fax_number": "270-651-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARE",
        "first_name": "CAROLYN",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "5451P",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "5451P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005451",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "5451P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "K095672",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100042070",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shane Hansen, M.ED
• Amanda Suzanne Hansford, COTA/L, OTR/L
• Melissa G Hansford, MD
• Tammie Hardwick
• Jonathan Mark Hardy, DMD
• Randi L Haring
• Rachyl Lynn Harmon, DO
• Kathy Harness, CSW
• Ashley Marie Harris, D.O.
• Jennifer Kay Harris, ARNP

• Family Nurse Practitioner in Somerset, KY
• Providers in Somerset, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.