GEORGETTA HARRIS-WYATT (NPI# 1154849594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154849594 |
| Entity Type | Individual |
| Full Name | GEORGETTA HARRIS-WYATT |
| Other Name | GEORGETTA HARRIS |
| Practice Address |
2400 Russellville Rd Hopkinsville KY 42240-8095 |
| Mailing Address |
2636 Nashboro Blvd Nashville TN 37217-4849 |
| Practice Telephone | 2708896025 |
| Mailing Telephone | 6158540559 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 735 North Dr, Hopkinsville, KY 422402620 | 2708862620 |
| Street Address |
2400 RUSSELLVILLE RD |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-8095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124167 | Commonwealth of Kentucky | Nursing Facility/Intermediate Care Facility | 2400 Russellville Rd, Us 68 East, Hopkinsville, KY 42241 | 2005-06-16 |
| 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 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821619610 | Zachary Thomas Garnett | Student in an Organized Health Care Education/Training Program | 205 Burley Ave, Hopkinsville, KY 42240-8725 | 2020-05-03 |
| 1992324362 | Maureen Davies | Student in an Organized Health Care Education/Training Program | 163 Pleasant Vw, Hopkinsville, KY 42240-9213 | 2020-04-15 |
| 1457747677 | Cayce Spencer Workman | Student in an Organized Health Care Education/Training Program | 616 Hurl Way, Hopkinsville, KY 42240-5274 | 2015-04-14 |
| 1770118853 | Benjamin Law | Student in an Organized Health Care Education/Training Program | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8095 | 2020-03-09 |
| 1336790245 | Christina Sue Link | Student in an Organized Health Care Education/Training Program | 290 Burley Ave, Hopkinsville, KY 42240-8725 | 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 |
| 1003461013 | Rebecca Girlinghouse | Student in an Organized Health Care Education/Training Program | 735 North Dr, Hopkinsville, KY 42240-2620 | 2019-08-06 |
| 1790269678 | Blake William Palmer | Student in an Organized Health Care Education/Training Program | 735 North Dr, Hopkinsville, KY 42240-2620 | 2018-09-18 |
| 1174018964 | Hannah Gaines Sutherland | Student in an Organized Health Care Education/Training Program | 735 North Dr, Hopkinsville, KY 42240-2620 | 2018-06-25 |
| 1770004368 | Anissa Pugh | Student in an Organized Health Care Education/Training Program | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2017-07-04 |
| Find all providers in HOPKINSVILLE | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
Please comment or provide details below to improve the information on GEORGETTA HARRIS-WYATT.
| 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.