MR. KEVIN BLAKE BISHOP (NPI# 1285143875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285143875 |
| Entity Type | Individual |
| Full Name | MR. KEVIN BLAKE BISHOP |
| Credential | APRN NP-C |
| Practice Address |
1600 Medical Center Dr Ste 1500 Huntington WV 25701-3657 |
| Mailing Address |
1500 Highview Dr Ashland KY 41102-9663 |
| Practice Telephone | 3046911100 |
| Mailing Telephone | 6065475395 |
| Mailing Fax Number | 6065475395 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 3011515 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
104052 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KENTUCKY BOARD OF NURSING | 3011515 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Saint Christopher Dr, Ashland, KY 411017034 | 6068333333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050165 | Kevin Bishop | Social Worker | 8435 Packard Ln, Green Mountain Falls, CO 80819-5092 | 2020-07-08 |
| 1720300700 | Kevin Bishop | Physical Therapy Assistant | 1115 N Charles G Seivers Blvd, Suite 22, Clinton, TN 37716-3946 | 2010-02-18 |
| 1033196597 | Kevin Joseph Bishop | Military Health Care Provider | U.S. Coast Guard, 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0001 | 2005-12-27 |
| 1881124915 | Kevin Bishop | Occupational Therapist | 308 Kingstown Way, Duxbury, MA 02332-4647 | 2017-06-12 |
| 1316953391 | Kevin R Bishop | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-31 |
| Street Address |
1600 MEDICAL CENTER DR STE 1500 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25701-3657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477781086 | Sarah Cash | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr Ste 1500, Family Practice Department, Huntington, WV 25701-3657 | 2009-06-23 |
| 1942834544 | Jessica Mclain Dingess | Social Worker | 1600 Medical Center Dr Ste 1500, Huntington, WV 25701-3657 | 2020-02-24 |
| 1588150585 | Pamilpreet Malhi | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr Ste 1500, Huntington, WV 25701-3657 | 2018-07-03 |
| 1821587007 | Luke Finley | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr Ste 1500, Huntington, WV 25701-3657 | 2018-05-03 |
| 1801385083 | Andrew Brown | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr Ste 1500, Huntington, WV 25701-3657 | 2018-05-03 |
| 1467941633 | Ellen Berry | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr Ste 1500, Huntington, WV 25701-3657 | 2018-05-03 |
| 1457858102 | Linda J Justice | Nurse Practitioner | 1600 Medical Center Dr Ste 1500, Huntington, WV 25701-3657 | 2018-04-10 |
| 1003350752 | Lauren Rae Matheny | Nurse Practitioner | 1600 Medical Center Dr Ste 1500, Huntington, WV 25701-3657 | 2016-12-15 |
| 1033550009 | Samantha Grabo Wright | Pharmacist | 1600 Medical Center Dr Ste 1500, Huntington, WV 25701-3657 | 2013-07-08 |
| 1972849891 | Martha A. Sommers | Family Medicine | 1600 Medical Center Dr Ste 1500, Huntington, WV 25701-3657 | 2012-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607803 | Sara Tonya Hicks | Technician | 742 4th Avenue, Huntington, WV 25701 | 2020-10-21 |
| 1316550791 | Ethan Scott Miller | Counselor | 1538 Charleston Ave., Huntington, WV 25701 | 2020-08-26 |
| 1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
| 1558972224 | Ardith Ruth Bartram | Technician | 4045 C 8th Street Road, Huntington, WV 25701 | 2020-08-14 |
| 1144839614 | Randall Edward Short | Behavior Technician | 10th Sixth Avenue West, Huntington, WV 25701 | 2020-07-30 |
| 1609495191 | Melanie Jean Howard | Pharmacist | 1538 Charleston Avenue, Huntington, WV 25701 | 2020-04-14 |
| 1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
| 1265082648 | Matt France | Technician | 3650 Taymor Rd, Huntington, WV 25701 | 2019-09-17 |
| 1538649348 | Kathryn Markus | Pharmacist | 1500 Medical Center Drive, Huntington, WV 25701 | 2018-08-21 |
| 1487155636 | Heather Marie Rogers | Nurse Practitioner | 940 4th Ave, Huntington, WV 25701 | 2018-02-23 |
| Find all providers in zip 25701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143495 | Katherine Dowling | Nurse Practitioner | 1 Bouton Rd, Huntington, NY 11743-1003 | 2020-10-28 |
| 1497354047 | Sara L Clayborne | Nurse Practitioner | 130 N Queens Ct, Huntington, WV 25705-3736 | 2020-10-23 |
| 1235747106 | Dathan Jobe | Nurse Practitioner | 2 Jacqueline Hts, Huntington, WV 25702-9764 | 2020-07-16 |
| 1427676923 | Taylor Regen Dean | Nurse Practitioner | 32 Brookstone Dr, Huntington, WV 25704-9563 | 2020-07-10 |
| 1689207516 | Sandra Walters | Nurse Practitioner | 1340 16th St, Huntington, WV 25701-3800 | 2020-02-19 |
| 1124678156 | Misty Rae Stauffer | Nurse Practitioner | 406 Viking Cove Rd, Huntington, TX 75949-3474 | 2019-09-11 |
| 1689223349 | Tashanna T Brown | Nurse Practitioner | 75 Prospect St Ste 204, Huntington, NY 11743-3320 | 2019-09-05 |
| 1194370676 | Chelse R Jobe | Nurse Practitioner | 2900 1st Ave Ste 10, Huntington, WV 25702-1241 | 2019-08-02 |
| 1609338284 | Anne M Weiser-maimone | Nurse Practitioner | 33 Knollwood Rd, Huntington, NY 11743-1527 | 2019-04-03 |
| 1396207262 | Vanessa Gervasi | Nurse Practitioner | 241 E Main St Ste 2c, Huntington, NY 11743-2917 | 2019-04-01 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25701 |
Please comment or provide details below to improve the information on MR. KEVIN BLAKE BISHOP.
| 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.