Individual provider Active NPI

Janie Combs, ARNP

  • Nurse Practitioner
  • Hazard, KY
National Provider Identifier
1962717132
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6522P Issued in KY
Practice address
48 Daniel Boone PLZ
Hazard, KY 41701-5334
Phone
(606) 487-9999
Fax
(606) 487-9179
NPI assigned
Aug 12, 2010
Last updated
Oct 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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 6522P KY Primary

Addresses

Primary practice location

48 Daniel Boone PLZ
Hazard, KY 41701-5334

Mailing address

48 Daniel Boone PLZ
Hazard, KY 41701-5334
Phone (606) 487-9999

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101124000993 KY Practitioner - Nurse Practitioner 6507052925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Health Care IncGroup PAC ID 8123326139, 3 clinicians

Practice addresses (Care Compare)

145 Citizens LN
Suite 102
Hazard, KY 41701-1463
Phone (606) 487-9999

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6522PKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Health Care Inc CurrentSince Feb 17, 2016 Accepting new patients
Appalachian Physicians PSC Past Accepting new patients

Locations

145 Citizens Ln
Ste 202
Hazard, KY 41701
Phone (606) 487-9999

48 Daniel Boone Plz
Hazard, KY 41701
Phone (606) 487-9999

48 Daniel Boone Plz
Ste A
Hazard, KY 41701
Phone (606) 487-9999

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
JC Family Health CareHazard, KY, CCN 188956 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Officer
Corporate Director
W-2 Managing Employee
Oct 16, 2015
Oct 16, 2015
Oct 16, 2015
Oct 16, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1962717132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 DANIEL BOONE PLZ",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417015334",
            "telephone_number": "606-487-9999",
            "fax_number": "606-487-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 DANIEL BOONE PLZ",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417015334",
            "telephone_number": "606-487-9999",
            "fax_number": "606-487-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "JANIE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "6522P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.