ACK HEALTHCARE MANAGEMENT, LLC (NPI# 1154748986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154748986 |
| Entity Type | Organization |
| Organization Name | ACK HEALTHCARE MANAGEMENT, LLC |
| Other Organization Name | SAINT CAMILLUS URGENT CARE |
| Practice Address |
1520 4th St Lewisport KY 42351 |
| Mailing Address |
Po Box 1099 Owensboro KY 42302-1099 |
| Practice Telephone | 2702953890 |
| Practice Fax Number | 2702953891 |
| Mailing Telephone | 5022775170 |
| Mailing Fax Number | 5022775172 |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2019-08-29 |
| Authorized Official Name | CHARLES YOUNG (OWNER/MEMBER) |
| Authorized Official Telephone | 8124890862 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | CLIA | 18D2054463 | 01 |
| KY | 7100295770 | 05 |
| Other Name | Type Code |
|---|---|
| Saint Camillus Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437676475 | Ack Healthcare Management, LLC | Nurse Practitioner | 2025 Bypass Rd Ste 205, Brandenburg, KY 40108 | 2017-08-29 |
| 1508238452 | Ack Healthcare Management, LLC | Clinic/Center | 1704 2nd St, Henderson, KY 42420 | 2015-10-30 |
| Street Address |
1520 4TH ST |
| City | LEWISPORT |
| State | KY |
| Zip Code | 42351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356605000 | Cassandra Kay Payne-durbin | Dietitian, Registered | 1520 4th St, Lewisport, KY 42351-2529 | 2012-06-27 |
| 1992351290 | Brenton A Hallden | Nurse Practitioner | 1520 4th St, Lewisport, KY 42351-2529 | 2019-08-13 |
| 1326541988 | Susan Renee Hicks | Registered Nurse | 1520 4th St, Lewisport, KY 42351 | 2018-03-09 |
| 1326412875 | Linda Jean Pierce | Nurse Practitioner | 1520 4th St, Lewisport, KY 42351-2529 | 2015-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437547312 | Monica Montgomery I | Occupational Therapy Assistant | 8005 U.S. 60, Lewisport, KY 42351 | 2014-12-31 |
| 1467619247 | Green River District Health Department | Public Health or Welfare | 80 State Route 271 South, Lewisport, KY 42351 | 2008-05-20 |
| 1720204969 | Choctaw Brodie Badgett | Dentist | 8340 U.S. 60 West, Lewisport, KY 42351 | 2007-04-17 |
| 1932191335 | Cynthia Jo Emmick | Nurse Practitioner | 8070 U.S. Hwy. 60 West, Lewisport, KY 42351-0078 | 2005-08-22 |
| 1689194987 | Mckena Tichenor, LLC | Counselor | 1210 4th Street, Lewisport, KY 42351-2526 | 2017-06-27 |
| 1487632709 | Jessica L Estes | Nurse Practitioner | 1210 4th St, Lewisport, KY 42351-2526 | 2006-01-06 |
| 1053912956 | Behj Group LLC | Nurse Practitioner | 1210 4th St, Lewisport, KY 42351-2526 | 2020-11-05 |
| 1609412154 | Whitehouse Behavioral Health | Nurse Practitioner | 1210 4th St, Lewisport, KY 42351-2526 | 2019-11-19 |
| 1639721202 | Behj Group LLC | Psychiatry & Neurology | 1210 4th St, Lewisport, KY 42351-2526 | 2019-07-12 |
| 1376094185 | Susan Evangline Piper | Nurse Practitioner | 1210 4th St, Lewisport, KY 42351-2526 | 2016-10-17 |
| Find all providers in zip 42351 | ||||
| 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 |
|---|---|---|---|---|
| 1932191335 | Cynthia Jo Emmick | Nurse Practitioner | 8070 U.S. Hwy. 60 West, Lewisport, KY 42351-0078 | 2005-08-22 |
| 1326412875 | Linda Jean Pierce | Nurse Practitioner | 1520 4th St, Lewisport, KY 42351-2529 | 2015-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891645 | K Tierney Lanham LLC | Nurse Practitioner | 6431 Regency Ln, Louisville, KY 40207-2309 | 2020-11-06 |
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1124626700 | Mind & Body Wellness | Nurse Practitioner | 105 Bob White Path, Georgetown, KY 40324-6169 | 2020-10-15 |
| 1902404759 | Cassie Parr | Nurse Practitioner | 57 Melissa Branch Rd, Ary, KY 41712-8716 | 2020-10-14 |
| 1649877275 | Kristy Faith Statzer | Nurse Practitioner | 7533 Russellville Rd, Morgantown, KY 42261-9625 | 2020-10-06 |
| 1124635446 | Tori Crabtree | Nurse Practitioner | 1511 Valley Dr, Flatwoods, KY 41139-1889 | 2020-09-30 |
| 1518574235 | Margaret E Lambert | Nurse Practitioner | 2241 Abbeywood Rd, Lexington, KY 40515-1157 | 2020-09-27 |
| 1003422270 | Victoria Weis | Nurse Practitioner | 9301 Dayflower St Ste 100, Prospect, KY 40059-7585 | 2020-09-22 |
| 1598370694 | Candace Jones-martin | Nurse Practitioner | 111 Osbourne Way # 101, Georgetown, KY 40324-8004 | 2020-09-15 |
| 1588274161 | Karyn Michele Bentley | Nurse Practitioner | 210 Hoagland Hill Rd, Mount Washington, KY 40047-7583 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
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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.