Glenda Bastin, R.N.

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

1045777 Issued in KY

Practice address

108 New Glendale Rd
Elizabethtown, KY 42701-1023

Phone

(270) 769-1601

Fax

(270) 765-7274

NPI assigned

Aug 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1639624893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2609",
            "address_2": "108 NEW GLENDALE ROAD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427022609",
            "telephone_number": "270-769-1601",
            "fax_number": "270-765-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NEW GLENDALE RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011023",
            "telephone_number": "270-769-1601",
            "fax_number": "270-765-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIN",
        "first_name": "GLENDA",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "KY",
            "license": "1045777",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1045777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jess Barton, DMD
• Kelly Ann Basham
• Morgan Fayth Basham
• Tiffany S. Basham, DNP, FNP-BC
• Amy Bashaw
• Morgan Bateman, CRNA
• Shannon Bates
• George W Bauer III, M.D.
• Pedro Sagmit Baula Jr., MD
• Victoria Mercado Baula, MD

• Community Health Registered Nurse in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Community Health Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.