Provider Demographics
NPI:1295709616
Name:RITCHEY, BARBARA MICHELLE (ARNP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:MICHELLE
Last Name:RITCHEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 OAK RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40067-6668
Mailing Address - Country:US
Mailing Address - Phone:502-722-0492
Mailing Address - Fax:
Practice Address - Street 1:1320 OAK RIDGE CT
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:KY
Practice Address - Zip Code:40067-6668
Practice Address - Country:US
Practice Address - Phone:502-722-0492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002048A363L00000X
KY4718P363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN243960SMedicare ID - Type UnspecifiedIN MEDICARE
KYQ60131Medicare UPIN
KY0078126Medicare ID - Type UnspecifiedKY MEDICARE