MRS. TERRI SUSAN DAUGHERTY (NPI# 1215253018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215253018 |
| Entity Type | Individual |
| Full Name | MRS. TERRI SUSAN DAUGHERTY |
| Credential | RN |
| Practice Address |
209 Pauline Dr Berea KY 40403-8889 |
| Mailing Address |
5237 Brindle Ridge Rd Brodhead KY 40409-8452 |
| Practice Telephone | 8599861259 |
| Mailing Telephone | 8599861259 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
1035141 | KY | Nursing Service Providers |
| Street Address |
209 PAULINE DR |
| City | BEREA |
| State | KY |
| Zip Code | 40403-8889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851328074 | John Melton Bennett | Emergency Medicine | 209 Pauline Dr, Berea, KY 40403-8889 | 2006-06-26 |
| 1780182154 | Dana M Schneider-kovach | Social Worker | 209 Pauline Dr, Berea, KY 40403-8889 | 2018-01-31 |
| 1194187633 | Hannah Bennett | Internal Medicine | 209 Pauline Dr, Berea, KY 40403-8889 | 2016-03-23 |
| 1619371135 | Michelle Pearson | Dietitian, Registered | 209 Pauline Dr, Berea, KY 40403-8889 | 2014-10-13 |
| 1326331083 | Department of Veterans Affairs | Clinic/Center | 209 Pauline Dr, Berea, KY 40403-8889 | 2011-05-27 |
| 1528205648 | Lexington Vamc | Clinic/Center | 209 Pauline Dr, Berea, KY 40403-8889 | 2009-01-12 |
| 1740434802 | Dicky Lhaden Aikat | Internal Medicine | 209 Pauline Dr, Berea, KY 40403-8889 | 2008-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044533 | Melissa Westfall | Registered Nurse | 440 Greenup Rd, Russell, KY 41169-1087 | 2020-05-08 |
| 1073150041 | Shuronda Ware | Registered Nurse | 13518 Terrace Creek Dr Apt 101, Louisville, KY 40245-5808 | 2019-12-09 |
| 1609246321 | Angela Bucklew | Registered Nurse | 640 Wright Ave., Bowling Green, KY 42101 | 2015-10-07 |
| 1700030509 | Bev Hayes | Registered Nurse | 880 Lahue Cemetery Rd, Falls of Rough, KY 40119-6715 | 2008-11-06 |
| 1871744607 | Catherine Ellen Longshore | Registered Nurse | 10156 Cedar Ln, Alexandria, KY 41001-8908 | 2008-10-10 |
| 1275781312 | Fannie G Endres | Registered Nurse | 11436 Us Highway 42, Union, KY 41091-9483 | 2008-09-03 |
| 1780844589 | Susan Renee Rice | Registered Nurse | 1207 Maple Hill Dr, Somerset, KY 42503-8839 | 2008-06-15 |
| 1497963391 | Kerri Dianne Miller | Registered Nurse | 2759 Petros Browning Rd, Rockfield, KY 42274-9762 | 2007-05-21 |
| 1689886236 | Penny Jean Bowen | Registered Nurse | 1600 Breckenridge, Grdhd, Owensboro, KY 42302 | 2007-05-04 |
| 1326267717 | Janet M O'brien | Registered Nurse | 181 Chevy Ln, Glasgow, KY 42141-8062 | 2007-04-24 |
| 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.