Diabetes Care Solutions, PLLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

3072PKY Issued in KY

Legal business name

DIABETES CARE SOLUTIONS, PLLC

Practice address

120 W Stephen Foster Ave
Suite 103
Bardstown, KY 40004-1465

Phone

(502) 349-0105

Fax

(502) 349-0170

NPI assigned

Sep 18, 2007

Last updated

Feb 22, 2008By 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

Mrs. Marcia Jett, ARNP, CDE

Title

Owner

Phone

(502) 349-0105

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1710173349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE",
            "address_2": "SUITE 103",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041465",
            "telephone_number": "502-349-0105",
            "fax_number": "502-349-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE",
            "address_2": "SUITE 103",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041465",
            "telephone_number": "502-349-0105",
            "fax_number": "502-349-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES CARE SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "JETT",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-349-0105",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP, CDE"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "KY",
            "license": "3072PKY",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "00522",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chandler Austin Delaney
• David Gerard Demar Sr., CSFA/KCSA
• Christal G Denton, APRN
• Developmental Guidance Services
• Diabetes and Nutrition Management of Bardstown, PLLC
• Karel Disponett, PH.D.
• Hanh Minh DO, DMD
• James T Dodge, D.O.
• Kirstin Danielle Donnelly, APRN
• Alan Todd Dossett, CRNA

• Health Maintenance Organization in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Health Maintenance Organization in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.