Pennie Christine Haste

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

3017283 Issued in KY

Practice address

305 Langdon St
Somerset, KY 42503-2750

Phone

(270) 202-5768

NPI assigned

Jun 30, 2022

Last updated

Aug 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Cumberland Physician Practices LLCGroup PAC ID 2567510464, 47 clinicians

Champion Physical Therapy Kentucky, LLCGroup PAC ID 3476818519, shared by 3 NPIs, 43 clinicians

Nautilus Health Care Group PLCGroup PAC ID 4183868052, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://97465a19-0dc7-4ef3-9aea-f72e472d3305.gastro.prod.fhir.ema-api.com/fhir/r4/
• FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4
• Direct secure messaging: pennie.haste.1@21269.direct.athenahealth.com

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.

• Lake Cumberland Physician Practices, LLC

  dba Lake Cumberland Orthopedics

  • Orthopaedic Surgery Physician
  • Somerset, KY
  • NPI 1811356892
  Medicare reassignment Care Compare group NPD
• Nautilus Health Care Group, PLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Somerset, KY
  • NPI 1164866877
  Medicare reassignment Care Compare group
• Lake Cumberland Physician Practices

  dba Lake Cumberland Weight Loss Physicians

  • Surgery Physician
  • Somerset, KY
  • NPI 1417214669
  NPD
• Lake Cumberland Physician Practices LLC

  dba Gastroenterology of Lake Cumberland

  • Gastroenterology Physician
  • Somerset, KY
  • NPI 1174091383
  NPD
• Lake Cumberland Surgery Center LP

  dba Lake Cumberland Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Somerset, KY
  • NPI 1720143779
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lake Cumberland Regional Hospital LLC

  dba Lake Cumberland Regional Hospital

  • Rural Acute Care Hospital
  • Somerset, KY
  • NPI 1619038247
  Care Compare affiliation

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1922730605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 S MIKE MERRITT RD",
            "city": "BETHELRIDGE",
            "state": "KY",
            "postal_code": "425166709",
            "telephone_number": "270-202-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 LANGDON ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032750",
            "telephone_number": "270-202-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTE",
        "first_name": "PENNIE",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3017283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kay Harris, ARNP
• Josh Harris, PT, DPT
• Kimberly Malcomb Harris
• Harvey Schleter O.D. PSC
• Kailyn Haste, LPCC
• Tammy Renae Haste, MSN, APRN, NP-C
• Linda Hatcher, OPTHALMIC DISPENSER
• Haley Hatfield
• Charles Hatmaker
• Irene L Hatton, DI

• Primary Care Nurse Practitioner in Somerset, KY
• Providers in Somerset, KY by specialty
• Primary Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.