KATRENA BLACKWELL (NPI# 1205918224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205918224 |
| Entity Type | Individual |
| Full Name | KATRENA BLACKWELL |
| Credential | MSN, PMHCNS, ARNP-BC |
| Practice Address |
739 North Dr Hopkinsville KY 42240-2620 |
| Mailing Address |
11705 Pilot Rock Rd Hopkinsville KY 42240-8921 |
| Practice Telephone | 2708865163 |
| Mailing Telephone | 2708862507 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
1724S | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
739 NORTH DR |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730179524 | David C Gray | Psychiatry & Neurology | 739 North Dr, Hopkinsville, KY 42240-2620 | 2005-10-24 |
| 1174141840 | Brittney Taylor Helms | Registered Nurse | 739 North Dr, Hopkinsville, KY 42240-2620 | 2020-07-09 |
| 1164087680 | Jaimie Nicole Devine | Registered Nurse | 739 North Dr, Hopkinsville, KY 42240-2620 | 2019-05-09 |
| 1144709403 | Johnni Jo Cansler | Registered Nurse | 739 North Dr, Hopkinsville, KY 42240-2620 | 2018-08-08 |
| 1104348358 | Rachel Elizabeth Cole | Nurse Practitioner | 739 North Dr, Hopkinsville, KY 42240-2620 | 2017-07-10 |
| 1205904760 | Martha Sedberry | Nurse Practitioner | 739 North Dr, Hopkinsville, KY 42240-2620 | 2006-12-01 |
| 1841241973 | Alan Lawton Myers | Psychiatry & Neurology | 739 North Dr, Hopkinsville, KY 42240-2620 | 2006-05-13 |
| 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 | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083951164 | Psychiatric Center Inc | Clinical Nurse Specialist | 1330 S Mayo Trl Ste 301, Pikeville, KY 41501-2321 | 2013-01-10 |
| 1689725798 | Bonnie J. French | Clinical Nurse Specialist | 320 Joan Ave, Elizabethtown, KY 42701-2242 | 2007-01-15 |
| 1508973439 | Jan J Funk | Clinical Nurse Specialist | 730 Fairview Ave Ste A8, Bowling Green, KY 42101-2383 | 2006-08-24 |
| 1073634341 | Psychiatric Center Inc. | Clinical Nurse Specialist | 1330 S Mayo Trl, Nova Complex Suite 301, Pikeville, KY 41501-2321 | 2007-04-03 |
| 1063565208 | Hilario Ambrosio Pascua | Clinical Nurse Specialist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2007-01-19 |
| 1609977800 | Mary C Ozinga | Clinical Nurse Specialist | 20 Medical Village Dr, Suite 107, Edgewood, KY 41017-5401 | 2006-09-26 |
| 1760442263 | Patricia Webb Smith | Clinical Nurse Specialist | 229 W Walnut St, Mayfield, KY 42066-2223 | 2006-03-27 |
| City | HOPKINSVILLE |
| Zip Code | 42240 |
Please comment or provide details below to improve the information on KATRENA BLACKWELL.
| 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.