COMMONWEALTH OF KENTUCKY (NPI# 1134124167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134124167 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF KENTUCKY |
| Other Organization Name | WESTERN STATE NURSING FACILITY |
| Practice Address |
2400 Russellville Rd Us 68 East Hopkinsville KY 42241 |
| Mailing Address |
Po Box 2200 2400 Russellville Road, Us 68 East Hopkinsville KY 42241 |
| Practice Telephone | 5028864431 |
| Practice Fax Number | 2708864487 |
| Mailing Telephone | 5028864431 |
| Mailing Fax Number | 2708864487 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2015-07-07 |
| Authorized Official Name | STEPHANIE CRAYCRAFT (DIRECTOR) |
| Authorized Official Telephone | 5027826243 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMONWEALTH OF KENTUCKY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 100490 | KY | Nursing & Custodial Care Facilities |
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | KY | Nursing & Custodial Care Facilities | |
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | KY | Nursing & Custodial Care Facilities | |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 12400024 | 05 |
| Other Name | Type Code |
|---|---|
| Western State Nursing Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043686900 | Commonwealth of Kentucky | Skilled Nursing Facility | 100 Veterans Drive, Radcliff, KY 40160 | 2015-08-14 |
| 1245657857 | Commonwealth of Kentucky | Clinic/Center | 2441 Us Highway 27, Somerset, KY 42501 | 2014-03-20 |
| 1730329897 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 400 Eastwood, 2441 S. Hwy 27, Somerset, KY 42501 | 2009-03-03 |
| 1588804546 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 400 Eastwood Dr, 2441 S. Hwy 27, Somersetq, KY 42501 | 2009-03-03 |
| 1770762833 | Commonwealth of Kentucky | Residential Treatment Facility, Physical Disabilities | 5659 Main St, Thelma, KY 41260-8609 | 2007-10-25 |
| 1396962551 | Commonwealth of Kentucky | Nursing Facility/Intermediate Care Facility | 200 Veterans Dr, Hazard, KY 41701-9484 | 2007-04-19 |
| 1124144456 | Commonwealth of Kentucky | Pharmacy | 2400 Russellville Road, Hopkinsville, KY 42240 | 2007-03-21 |
| 1194862599 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 23524 Dawson Springs Rd, Dawson Springs, KY 42408-9205 | 2007-02-01 |
| 1083785125 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 4401-4505 Louise Underwood Way, Louisville, KY 40216 | 2006-11-12 |
| 1689652513 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 210 Meadows Dr, Mt Washington, KY 40047-6013 | 2005-12-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMONWEALTH OF KENTUCKY - DEPARTMENT FOR LOCAL GOVERNMENT | 1024 Capital Center Dr Ste 340, Frankfort, KY 40601-7514 |
| Street Address |
2400 RUSSELLVILLE RD US 68 EAST |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879693 | Elsie Darlene Foster | Registered Nurse | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2020-10-21 |
| 1770118853 | Benjamin Law | Student in an Organized Health Care Education/Training Program | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8095 | 2020-03-09 |
| 1134754690 | Nathan Ragsdale | Peer Specialist | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8095 | 2020-03-05 |
| 1881229383 | Timothy Hendricks | Peer Specialist | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8095 | 2020-03-05 |
| 1134766603 | Tabatha Hawkins | Registered Nurse | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8095 | 2019-12-04 |
| 1669017216 | Rocky Trusty | Peer Specialist | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8725 | 2019-11-07 |
| 1689215915 | David Fontaine | Peer Specialist | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2019-10-08 |
| 1548811557 | Glenn Edwin Childress | Peer Specialist | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2019-09-23 |
| 1164072971 | Joanna Marie Newsome | Student in an Organized Health Care Education/Training Program | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2019-09-13 |
| 1417415571 | Shannon Spears | Case Manager/Care Coordinator | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2019-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407157662 | Tammy M Mcelwain | Registered Nurse | 100 Trilogy Ave, Hopkinsville, KY 42241 | 2010-11-04 |
| 1538683354 | John Kenneth Guessetto | Psychologist | Po Box 2200, Hopkinsville, KY 42241-2200 | 2017-08-02 |
| 1205993920 | Jennie Stuart Medical Center | Surgery | 320 W 18th St, Hopkinsville, KY 42241-2400 | 2007-01-02 |
| 1992770721 | Paula Bernice Hudson | Social Worker | 2675 Greenville Road, Hopkinsville, KY 42241-4074 | 2006-02-23 |
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588754691 | Cornelia C. Bingcang | Psychiatry & Neurology | 607 Hammond Plz, Hopkinsville, KY 42240-4971 | 2006-10-13 |
| 1609969369 | Deepak Patel | Psychiatry & Neurology | 310 Cool Water Ct, Hopkinsville, KY 42240-8738 | 2006-10-02 |
| 1730179524 | David C Gray | Psychiatry & Neurology | 739 North Dr, Hopkinsville, KY 42240-2620 | 2005-10-24 |
| 1972599405 | Vasundhara-devi Vemula | Psychiatry & Neurology | 270 Walton Way, Hopkinsville, KY 42240-6808 | 2005-09-20 |
| 1023462447 | Victor Manuel Arballo | Psychiatry & Neurology | 270 Walton Way, Hopkinsville, KY 42240-6808 | 2016-04-21 |
| 1487869137 | Deepak V. Patel, Md, Pllc | Psychiatry & Neurology | 1609 S Main St, Hopkinsville, KY 42240-1970 | 2007-05-14 |
| 1386781193 | John B Stea | Psychiatry & Neurology | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2007-01-31 |
| 1720125529 | Irene Y Pasquin | Psychiatry & Neurology | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2007-01-31 |
| 1619013190 | Richard J Lunsford Jr. | Psychiatry & Neurology | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2007-01-30 |
| 1245376896 | Nusrat Siddiqi | Psychiatry & Neurology | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2007-01-30 |
| Find all providers in HOPKINSVILLE | ||||
| City | HOPKINSVILLE |
| Zip Code | 42241 |
Please comment or provide details below to improve the information on COMMONWEALTH OF KENTUCKY.
| 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.