WELLSPRINGS WELLNESS LLC (NPI# 1144886763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144886763 |
| Entity Type | Organization |
| Organization Name | WELLSPRINGS WELLNESS LLC |
| Practice Address |
200 Belmont Ave Somerset KY 42501 |
| Mailing Address |
Po Box 3044 West Somerset KY 42564-3044 |
| Practice Telephone | 6066872038 |
| Practice Fax Number | 6062003654 |
| Mailing Telephone | 6066872038 |
| Mailing Fax Number | 6062003654 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2020-05-19 |
| Authorized Official Name | TRICIA L WHITAKER (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6066872038 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100638600 | 05 | |
| KY | 7100599060 | 05 |
| Street Address |
200 BELMONT AVE |
| City | SOMERSET |
| State | KY |
| Zip Code | 42501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881662781 | Denita K Mcdonald | Nurse Practitioner | 200 Belmont Ave, Somerset, KY 42501 | 2006-03-08 |
| 1205467370 | Laurie Lee Goff | Nurse Practitioner | 200 Belmont Ave, Somerset, KY 42501 | 2020-01-28 |
| 1508341959 | Andrea S Gifford | Nurse Practitioner | 200 Belmont Ave, Somerset, KY 42501 | 2018-10-02 |
| 1003251612 | Angela Jo Cain | Nurse Practitioner | 200 Belmont Ave, Somerset, KY 42501 | 2013-05-09 |
| 1801133640 | Connie Sue Cable | Social Worker | 200 Belmont Ave, Somerset, KY 42501 | 2013-01-14 |
| 1629388772 | Michael Gene Burns | Counselor | 200 Belmont Ave, Somerset, KY 42501 | 2010-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
| 1043790983 | Lakeside Primary Care, Psc | Nurse Practitioner | 6470 S Hwy 27, Somerset, KY 42501 | 2018-08-20 |
| 1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
| 1174052534 | Gina Marie West | Case Manager/Care Coordinator | 100 Hardin Lane Suite 3, Somerset, KY 42501 | 2017-06-08 |
| 1790216935 | Jackie Bruecken | Hearing Instrument Specialist | 3311 S. Highway 27, Somerset, KY 42501 | 2017-03-21 |
| 1609326404 | Adam Michael Prather | Physical Therapist | 2835 South Highway Us 27, Suite 286b, Somerset, KY 42501 | 2016-10-05 |
| 1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
| 1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
| 1508214677 | Aaron Atwood | Counselor | 3810 S Highway 27 Ste 4, Somerset, KY 42501 | 2016-05-31 |
| 1598136897 | Elizabeth Miller | Occupational Therapist | 303 Second Street, Somerset, KY 42501 | 2015-10-13 |
| Find all providers in zip 42501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
| 1902418569 | Erica Figuerado | Nurse Practitioner | 175 Yankee Peddler Dr, Somerset, MA 02726-4133 | 2020-08-17 |
| 1508497470 | Cornerstone Family Practice LLC | Nurse Practitioner | 485 Country Acres Dr, Somerset, KY 42503-5036 | 2020-01-30 |
| 1043859911 | Crystal R Broughton | Nurse Practitioner | 383 Splendor View Dr, Somerset, KY 42503-7517 | 2019-12-24 |
| 1326697566 | Rhonda Kelly | Nurse Practitioner | 6470 S Highway 27, Somerset, KY 42501-6075 | 2019-09-10 |
| 1437667102 | Rosalia Aguilar | Nurse Practitioner | 46 Carmen St, Somerset, NJ 08873-2407 | 2018-01-16 |
| 1194244871 | Rebecca Allison Serre | Nurse Practitioner | 105 W Church St Ste 1, Somerset, PA 15501-2269 | 2017-09-14 |
| 1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
| 1245601491 | Jill Davisson | Nurse Practitioner | 5820 Township Road 39 Nw, Somerset, OH 43783-9792 | 2015-10-14 |
| 1821481813 | Shelley Danielle Stockton Bruce | Nurse Practitioner | 110 Hardin Ln Ste 10, Somerset, KY 42503-3818 | 2015-03-15 |
| Find all providers in SOMERSET | ||||
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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.