NNA OF PADUCAH, LLC (NPI# 1265544084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265544084 |
Entity Type | Organization |
Organization Name | NNA OF PADUCAH, LLC |
Other Organization Name | RCG PADUCAH |
Practice Address |
1532 Lone Oak Rd Suite G-15 Paducah KY 42003-7913 |
Practice Telephone | 2704430217 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MARK FAWCETT (TREASURER) |
Authorized Official Telephone | 7814029000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
RCG PADUCAH | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407178825 | Nna of Paducah, LLC | Clinic/Center | 2484 Main St., Cadiz, KY 42211-6000 | 2010-02-26 |
1174635999 | Nna of Paducah, LLC | Clinic/Center | 1215 Johnson Blvd, Murray, KY 42071-2957 | 2006-08-31 |
Street Address |
1532 LONE OAK RD SUITE G-15 |
City | PADUCAH |
State | KY |
Zip Code | 42003-7913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922001601 | James Shumaker | Pediatrics | 1532 Lone Oak Rd, Ste 345, Paducah, KY 42003-7942 | 2005-05-24 |
1790225977 | Tiffany Lynn Cates | Nurse Practitioner | 1532 Lone Oak Rd, Ste 143, Paducah, KY 42003 | 2017-03-07 |
1700258183 | Kimberly Jernigan | Nurse Practitioner | 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7942 | 2015-10-26 |
1235505827 | Darrell New I | Nurse Practitioner | 1532 Lone Oak Rd, Suite 150, Paducah, KY 42003-7940 | 2015-08-18 |
1194112755 | Catherine Lee Reimnitz | Nurse Practitioner | 1532 Lone Oak Rd, Suite 345, Paducah, KY 42003-7942 | 2015-04-22 |
1093101958 | Julie Ann Emerine Heeb | Nurse Practitioner | 1532 Lone Oak Rd, Suite 430, Paducah, KY 42003-7913 | 2015-04-07 |
1508115007 | Kristie Hack | Nurse Practitioner | 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7942 | 2012-08-30 |
1114285723 | Lance D Williamson | Nurse Practitioner | 1532 Lone Oak Rd, Suite 315, Paducah, KY 42003-7913 | 2012-05-02 |
1730475302 | Elyse A Hale | Specialist/Technologist, Other | 1532 Lone Oak Rd, Suite 445, Paducah, KY 42003-7913 | 2011-06-22 |
1134433931 | Deborah Lynn Bray | Clinical Nurse Specialist | 1532 Lone Oak Rd, Suite 415, Paducah, KY 42003-7913 | 2010-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
Find all providers in zip 42003 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134221534 | Nna of Paducah LLC | Clinic/Center | 1061 Husband Rd, Paducah, KY 42003-0204 | 2006-09-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962000232 | Fresenius Medical Care Kentuckiana Ht, LLC | Clinic/Center | 6400 Dutchmans Pkwy Ste 145, Louisville, KY 40205-3342 | 2020-10-09 |
1659988970 | Dialyze Direct Ky, LLC | Clinic/Center | 9780 Ormsby Station Rd Ste 1200, Louisville, KY 40223-4049 | 2020-09-30 |
1922637529 | Total Renal Care, Inc. | Clinic/Center | 601 Chamberlin Ave, Frankfort, KY 40601-4220 | 2020-04-06 |
1629602727 | Pure Life Renal of Louisville, LLC | Clinic/Center | 3935 Taylorsville Rd, Louisville, KY 40220-1455 | 2020-02-27 |
1407496557 | Total Renal Care, Inc. | Clinic/Center | 310n L Rogers Wells Bldv, Glasgow, KY 42141-1300 | 2020-01-07 |
1093213902 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1715 Gagel Ave, Louisville, KY 40216-2763 | 2018-01-25 |
1972022044 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1112 S Main St Ste 11, Franklin, KY 42134 | 2017-09-11 |
1811414980 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 23 A St Ste A, Louisa, KY 41230-6001 | 2017-08-29 |
1467978791 | Total Renal Care Inc | Clinic/Center | 737 Dishman Lane Ext, Bowling Green, KY 42104-3898 | 2017-08-18 |
1831615434 | Fresenius Medical Care Stanford, LLC | Clinic/Center | 29 Frontier Blvd, Stanford, KY 40484-8513 | 2017-08-16 |
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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.