Audra Bevins, RN
Individual provider Active NPI Registered Nurse · Pikeville, KY
NPI 1669608972 · NPPES record last updated Jun 2, 2009
Key facts
- NPI
- 1669608972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1073532 (KY)
- Practice address
- 119 River Dr
Pikeville, KY 41501-1685 - Phone
- (606) 437-5500
- NPI assigned
- Jun 2, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1073532 | KY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1073532 | KY | Yes |
Addresses
Primary practice location
119 River Dr
Pikeville, KY 41501-1685
Mailing address
119 River Dr
Pikeville, KY 41501-1685
Phone (606) 437-5500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100051990 | Medicaid | KY |
Other providers in Pikeville, KY
- Henrik Oliver Berdel
- Best Practice Family Health, PLLC
- Betsy Layne Primary Care, PLLC
- William T. Betz
- Anna Lou Bevins
- Corie Lynn Bevins
- Jeremy Clarke Bevins
- Ravinder Singh Bhagrath
- Bhatraju Medical Clinic
- Rao S Bhatraju
All providers in Pikeville, KY · Registered Nurse in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.