| Ms Brenda H Caudill, APRN | |
| 
					1520 Boonesboro Rd, Winchester, KY 40391-8816  | |
| (859) 744-0067 | |
| (859) 744-0042 | 
| Full Name | Ms Brenda H Caudill | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 1520 Boonesboro Rd, Winchester, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437114626 | NPI | - | NPPES | 
| 78003209 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 1070594 (Kentucky) | Secondary | 
| 363L00000X | Nurse Practitioner | 3002746 (Kentucky) | Primary | 
| Entity Name | Kentucky Hospital, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770809808 PECOS PAC ID: 4688614290 Enrollment ID: O20100811000003  | 
| Entity Name | Clark Regional Physician Practices Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780356253 PECOS PAC ID: 9739337569 Enrollment ID: O20120919000575  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Brenda H Caudill, APRN 1520 Boonesboro Rd, Winchester, KY 40391-8816 Ph: (859) 744-0067  | Ms Brenda H Caudill, APRN 1520 Boonesboro Rd, Winchester, KY 40391-8816 Ph: (859) 744-0067  | 
Mrs. Sara M Darmadji, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 Bypass Rd, Winchester, KY 40391 Phone: 859-744-5111 Fax: 859-744-1177  | |
Amy Elizabeth Brubaker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 455 Bullion Blvd, Winchester, KY 40391 Phone: 859-744-2623 Fax: 859-744-9421  | |
Amber D Rudd, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 N Highland St, Suite A, Winchester, KY 40391 Phone: 859-744-1445 Fax: 859-744-1442  | |
Mrs. Regina Ann Prewitt, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 Shoppers Dr, Winchester, KY 40391 Phone: 859-744-9866  | |
Larry Omar Maggard, APRN - C, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Fontaine Blvd, Winchester, KY 40391 Phone: 859-749-8266 Fax: 859-749-8266  | |
Michelle A Mcbrayer, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26 N Highland St, Winchester, KY 40391 Phone: 859-253-1686 Fax: 859-254-2743  | |
Pascaline Jumbuin, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 625 Tech Dr, Winchester, KY 40391 Phone: 859-310-3567  |