Appalachian Holdings Company LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2049529 Issued in KY

Legal business name

APPALACHIAN HOLDINGS COMPANY LLC

Practice address

519 Booth Rd
Pine Ridge, KY 41360-8805

Phone

(606) 668-7497

NPI assigned

Feb 13, 2017

Last updated

Feb 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melisa K Booth

Title

Owner

Phone

(606) 362-3763

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1568901387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 BOOTH RD",
            "city": "PINE RIDGE",
            "state": "KY",
            "postal_code": "413608805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 BOOTH RD",
            "city": "PINE RIDGE",
            "state": "KY",
            "postal_code": "413608805",
            "telephone_number": "606-668-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN HOLDINGS COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "MELISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-362-3763"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "KY",
            "license": "2049529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Brewer Johnson, M.S. CCC/SLP
• Ada S Spencer, LMT

• Licensed Practical Nurse in Pine Ridge, KY
• Providers in Pine Ridge, KY by specialty
• Licensed Practical Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.