Marinetta Vanlahr, ARNP, NP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Hardinsburg, KY
NPI 1942289608 · NPPES record last updated Aug 3, 2017
Key facts
- NPI
- 1942289608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 2372P (KY)
- Practice address
- 107 Old Highway 60
Hardinsburg, KY 40143-2501 - Phone
- (270) 580-2250
- NPI assigned
- Jan 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070906000196 | KY | Practitioner - Nurse Practitioner | 8325131436 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2372P | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patel Medical Center PLLC | Current |
Accepting new patients | |
| Patel Medical Center PLLC | Current |
Accepting new patients | |
| Robert B Chambliss MD PLLC | Past | Accepting new patients | |
| Save-Rite Drugs, Inc | Past |
Accepting new patients | |
| Breckinridge Health Inc. | Past | Accepting new patients |
Locations
1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000
205 W Highway 60
Irvington, KY 40146
Phone (270) 547-7161
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2372P | KY | |
| Adult Health Nurse Practitioner | 363LA2200X | 2372P | KY | Yes |
Addresses
Primary practice location
107 Old Highway 60
Hardinsburg, KY 40143-2501
Mailing address
107 Old Hwy 60
Hardinsburg, KY 40143
Phone (270) 580-2250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78-002094 | Medicaid | KY |
Other providers in Hardinsburg, KY
- Benjamin S Smith
- Louise A Smith
- Taylor Pharmacy Inc
- Selina Dawn Thurman
- Towne & Country Pharmacy Florist & Gifts Inc
- Ruth Clark Williams
- Laura Willoughby
All providers in Hardinsburg, KY · Adult Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.