Individual provider Active NPI

Deborah Ann Daniels, A.P.R.N.

  • Family Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1962956268
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010563 Issued in KY
Practice address
1321 Cumberland Falls Hwy
Suite 3
Corbin, KY 40701-2720
Phone
(877) 366-8890
Fax
(877) 248-6141
NPI assigned
Aug 4, 2016
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010563 KY Primary

Addresses

Primary practice location

1321 Cumberland Falls Hwy
Suite 3
Corbin, KY 40701-2720

Mailing address

1321 Cumberland Falls Hwy
Suite 3
Corbin, KY 40701-2720
Phone (877) 366-8890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161109001533 KY Practitioner - Nurse Practitioner 5294014528 Reassigns benefits to 2 organizations
I20190722000419 IN Practitioner - Nurse Practitioner 5294014528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jaynes Family PracticeGroup PAC ID 3779992573, 9 clinicians

Practice addresses (Care Compare)

1013 Master St
Corbin, KY 40701-1065

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Oct 1, 2016 Accepting new patients
Jaynes Family Practice CurrentSince Mar 1, 2023 Accepting new patients
FC Indiana, LLC CurrentSince Jul 11, 2019 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Oct 1, 2016 Accepting new patients
FC Indiana, LLC CurrentSince Jul 11, 2019 Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

1202 E Tipton St
Seymour, IN 47274
Phone (812) 627-4933

1013 Master St
Corbin, KY 40701
Phone (606) 280-4000

1200 Master St
Corbin, KY 40701
Phone (606) 280-4000

15100 N US Highway 25 E
Ste 1
Corbin, KY 40701
Phone (606) 261-2054

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

1752 Highway 192 W
Ste 1
London, KY 40741
Phone (606) 330-0055

Organizations & group practices 5

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 1

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": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1962956268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 CUMBERLAND FALLS HWY",
            "address_2": "SUITE 3",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012720",
            "telephone_number": "877-366-8890",
            "fax_number": "877-248-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 CUMBERLAND FALLS HWY",
            "address_2": "SUITE 3",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012720",
            "telephone_number": "877-366-8890",
            "fax_number": "877-248-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "A.P.R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.