Annie Ruth Bland, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4652P Issued in KY

Practice address

132 Mini Mall Drive
Berea Health Ministry, Inc.
Berea, KY 40403-1170

Phone

(859) 986-1274

Fax

(859) 986-1279

NPI assigned

Jan 3, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376600635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 PASO FINO DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758662",
            "telephone_number": "859-626-8614",
            "fax_number": "859-622-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MINI MALL DRIVE",
            "address_2": "BEREA HEALTH MINISTRY, INC.",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031170",
            "telephone_number": "859-986-1274",
            "fax_number": "859-986-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAND",
        "first_name": "ANNIE",
        "middle_name": "RUTH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4652P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berea Urgent Care LLC
• Allison Walter Bethel, D.M.D.
• BHG Lviii, LLC
• BHG Lviii, LLC (BHG Medical Services Kentucky)
• BHG XXXV, LLC (BHG Berea Treatment Center)
• Samantha V Blandford, PHARMD
• Vicky S Blanton, APRN
• Misty Blaylock, MA, CCC-SLP
• Angela Boggs
• Tonya Danielle Booth

• Psychiatric/Mental Health Nurse Practitioner in Berea, KY
• Providers in Berea, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.