Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | 50003891A | INDIANA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 7100113670 | MEDICAID | KENTUCKY | |
| 2 | 000000056294 | OTHER | | ANTHEM GROUP # |
| 3 | K005430 | OTHER | KENTUCKY | M BLUNK MEDICARE PIN |
| 4 | 0676472 | OTHER | KENTUCKY | K DAVIS MEDICARE PIN |
| 5 | P00455002 | OTHER | INDIANA | BRASHEAR RR MEDICARE # |
| 6 | 000000303817 | OTHER | | JAN BRASHEAR'S ANTHEM # |
| 7 | 50010459 | OTHER | | PASSORT HEALTH PLAN # FOR SUMMERS |
| 8 | 1952304040 | OTHER | | JANICE BRASHEAR ARNP NPI |
| 9 | P400017283 | MEDICARE PIN | KENTUCKY | |
| 10 | P400036720 | MEDICARE PIN | KENTUCKY | |
| 11 | CK2274 | MEDICARE PIN | KENTUCKY | |
| 12 | 000000640353 | OTHER | | ANTHEM # FOR BILL COLLINS |
| 13 | 1255390274 | OTHER | | AUDRA SUMMERS NPI # |
| 14 | 50704000 | OTHER | | MAGELLAN GROUP |
| 15 | 50002994 | OTHER | | PASSPORT HEALTH PLAN # FOR JAN BRASHEAR |
| 16 | 2444451000 | OTHER | KENTUCKY | PASSPORT ADVANTAGE |
| 17 | 160780 | MEDICARE PIN | INDIANA | |
| 18 | 78903689 | OTHER | KENTUCKY | MEDICAID GROUP FOR ARNP |
| 19 | 5002992 | OTHER | | PASSPORT HEALTH PLAN GROUP # |
| 20 | 000000385875 | OTHER | | AUDRA SUMMERS ANTHEM # |
| 21 | 100386460 | OTHER | INDIANA | MEDICAID GROUP |
| 22 | 200977990 | OTHER | INDIANA | K DAVIS MEDICAID NUMBER |
| 23 | CG3623 | MEDICARE PIN | INDIANA | |
| 24 | 0676471 | MEDICARE PIN | KENTUCKY | |
| 25 | P00065495 | OTHER | KENTUCKY | BRASHEAR RR MEDICARE # |
| 26 | 6764 | MEDICARE PIN | KENTUCKY | |
| 27 | 0676430 | MEDICARE PIN | KENTUCKY | |
