Provider Demographics
| NPI: | 1508305715 |
|---|---|
| Name: | ADKINS, BRANDI NICOLE (APRN FNP-C) |
| Entity type: | Individual |
| Prefix: | MRS |
| First Name: | BRANDI |
| Middle Name: | NICOLE |
| Last Name: | ADKINS |
| Suffix: | |
| Gender: | F |
| Credentials: | APRN FNP-C |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | PO BOX 21890 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BELFAST |
| Mailing Address - State: | ME |
| Mailing Address - Zip Code: | 04915-4115 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 502-907-0356 |
| Mailing Address - Fax: | 502-919-9780 |
| Practice Address - Street 1: | 255 CHURCH ST STE 101 |
| Practice Address - Street 2: | |
| Practice Address - City: | PIKEVILLE |
| Practice Address - State: | KY |
| Practice Address - Zip Code: | 41501-3476 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 606-260-8613 |
| Practice Address - Fax: | 859-977-2683 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2017-02-21 |
| Last Update Date: | 2024-02-13 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| KY | 3011132 | 363LF0000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| 000001430455 | Other | ANTHEM PIN | |
| 6357800 | Other | UNITED HEALTHCARE | |
| KY | 7100476600 | Medicaid | |
| WV | 1508305715 | Medicaid | |
| VA | 30016480430001 | Medicaid |