Individual provider Active NPI

Jackie C. Noland, ARNP

  • Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1700989258
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4355P Issued in KY
Practice address
206 S Main St
Corbin, KY 40701-1456
Phone
(606) 528-0283
Fax
(606) 528-8422
NPI assigned
Sep 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4355P KY Primary

Addresses

Primary practice location

206 S Main St
Corbin, KY 40701-1456

Mailing address

6387 US 150 E
Stanford, KY 40484
Phone (859) 749-0561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4355PKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Primary Care LLC Nurse Practitioner PastSince Jan 5, 2004 Accepting new patients
Manchester Family Practice Clinic Past Accepting new patients
Madison Primary Care, LLC Past Accepting new patients
Crab Orchard Family Practice Clinic Past Accepting new patients
SE Kentucky Family Practice Clinics Inc Past Accepting new patients
Horizon Healthcare Center LLC Nurse Practitioner PastSince Mar 17, 2019 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700989258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6387 US 150 E",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "40484",
            "telephone_number": "859-749-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011456",
            "telephone_number": "606-528-0283",
            "fax_number": "606-528-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAND",
        "first_name": "JACKIE",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4355P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • 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.