OWENSBORO HEALTH, INC (NPI# 1124218011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124218011 |
| Entity Type | Organization |
| Organization Name | OWENSBORO HEALTH, INC |
| Other Organization Name | OWENSBORO HEALTH OUTPATIENT BEHAVIORAL SERVICES |
| Practice Address |
2211 Mayfair Dr Suite 409 Owensboro KY 42301-4568 |
| Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
| Practice Telephone | 2704177980 |
| Practice Fax Number | 2704177989 |
| Mailing Telephone | 2706881330 |
| Mailing Fax Number | 2706881338 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2015-05-07 |
| Authorized Official Name | JOHN T. HACKBARTH JR. (CFO) |
| Authorized Official Telephone | 2704174813 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
KY | Allopathic & Osteopathic Physicians | |
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200034820 | 05 | |
| KY | 6592790700 | 05 | |
| KY | 7890176600 | 05 |
| Other Name | Type Code |
|---|---|
| Owensboro Health Outpatient Behavioral Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871939066 | Owensboro Health, Inc | Social Worker | 1006 Ford Ave, Owensboro, KY 42301-4677 | 2013-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OWENSBORO HEALTH, INC. | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 |
| Street Address |
2211 MAYFAIR DR SUITE 409 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589970 | Elizabeth Hawkins Ottman | Obstetrics & Gynecology | 2211 Mayfair Dr, Ste 301, Owensboro, KY 42301-4569 | 2005-06-22 |
| 1518326990 | Owensboro Health Medical Group, Inc. | Nurse Practitioner | 2211 Mayfair Dr, Suite 305, Owensboro, KY 42301-4568 | 2016-02-15 |
| 1669863585 | Whitney Dawn Peay | Counselor | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2015-02-13 |
| 1558779009 | Owensboro Health Medical Group, Inc | Plastic Surgery | 2211 Mayfair Dr, Suite 305, Owensboro, KY 42301-4568 | 2014-07-29 |
| 1932530029 | Stephanie M Decker | Social Worker | 2211 Mayfair Dr, Ste 409, Owensboro, KY 42301-4570 | 2013-11-27 |
| 1639517451 | Snehamala Veeravalli | Psychiatry & Neurology | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2013-06-14 |
| 1013353101 | Owensboro Health Medical Group, Inc | Counselor | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301 | 2013-05-15 |
| 1669739777 | Jin S. Amon | Psychiatry & Neurology | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2012-04-13 |
| 1699067074 | Associated Owensboro Urology | Urology | 2211 Mayfair Dr, Suite 401, Owensboro, KY 42301-4568 | 2011-05-04 |
| 1518258177 | Ohio County Hospital Corp Inc | Urology | 2211 Mayfair Dr, Suite 410, Owensboro, KY 42301-4568 | 2011-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| 1043561640 | Allergy and Asthma Specialists, Psc | Nurse Practitioner | 3604 Wathens Xing, Owensboro, KY 42301-7035 | 2012-09-24 |
| 1114252491 | Green River District Health Department | Nurse Practitioner | 1601 Hathaway, Owensboro, KY 42303 | 2009-10-05 |
| 1710180393 | Lisa M Vaught | Nurse Practitioner | 1325 Triplett Street, Owensboro, KY 42303-3163 | 2007-06-09 |
| 1124245220 | Angela K. Flener | Nurse Practitioner | 1301 Pleasant Valley Rd Ste 404, Owensboro, KY 42303 | 2007-04-19 |
| 1982747531 | Ohio Valley Medical Center | Nurse Practitioner | 750 Salem Dr Ste 1a, Owensboro, KY 42303-7758 | 2007-02-14 |
| 1346217395 | Albert F Ward | Nurse Practitioner | 3600 Frederica St, Suite A & B, Owensboro, KY 42301 | 2006-03-08 |
| 1003892977 | Hospice & Palliative Care of The Ohio Valley, Inc | Nurse Practitioner | 3419 Wathens Xing, Owensboro, KY 42301-7009 | 2005-12-21 |
| 1649251349 | Judy Ann Carrico | Nurse Practitioner | 2811 New Hartford Road, Suite B, Owensboro, KY 42303-1320 | 2005-11-09 |
| Find all providers in OWENSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.