Active NPI
Jackie C. Noland, ARNP
- Nurse Practitioner
- Corbin, KY
National Provider Identifier
1700989258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4355P
- 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, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4355P | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Primary Care LLC | Nurse Practitioner | Past | 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 | Past | 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.
-
- Family Medicine Physician
- Crab Orchard, KY
- NPI 1801848460
-
dba Paragon Family Practice
- Nurse Practitioner
- Lexington, KY
- NPI 1932149622
-
- Family Medicine Physician
- Lexington, KY
- NPI 1194741017
Nurse Practitioner
-
- Rural Health Clinic/Center
- Richmond, KY
- NPI 1730473745
-
- Family Medicine Physician
- Manchester, KY
- NPI 1447201207
-
- Family Medicine Physician
- Corbin, KY
- NPI 1861576365
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.