RAVEN R. PRICE (NPI# 1356874200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356874200 |
| Entity Type | Individual |
| Full Name | RAVEN R. PRICE |
| Credential | M.D. |
| Practice Address |
2211 Mayfair Dr Ste 409 Owensboro KY 42301-4570 |
| Mailing Address |
401 E Chestnut St Unit 610 Louisville KY 40202-5711 |
| Practice Telephone | 2704177980 |
| Practice Fax Number | 2704177989 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
52887 | KY | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100606520 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 E Chestnut St Unit 610, Louisville, KY 402025711 | 8593120239 |
| Street Address |
2211 MAYFAIR DR STE 409 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-4570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467569434 | Marla D Boehman | Counselor | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301-4570 | 2006-08-24 |
| 1497313829 | Lori Yvonne Quinn | Nurse Practitioner | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301-4570 | 2019-05-31 |
| 1114437738 | Tiffany A Yocum | Nurse Practitioner | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301-4570 | 2017-10-10 |
| 1639693633 | Chesley R Jones | Registered Nurse | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301-4570 | 2017-08-01 |
| 1043465552 | Lisa C Z Moore | Social Worker | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301-4570 | 2008-11-25 |
| 1740447754 | Rhine Nahid Hejran | Psychiatry & Neurology | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301 | 2008-05-19 |
| 1073618658 | Rebecca Lynn Moorman | Counselor | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301-4570 | 2006-09-14 |
| 1568579670 | Juan R Jaramillo | Psychiatry & Neurology | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| 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 |
|---|---|---|---|---|
| 1104441914 | Joseph Christopher Edwards | Student in an Organized Health Care Education/Training Program | 3681 Briarcliff Trce, Owensboro, KY 42303-7602 | 2020-06-08 |
| 1255956066 | Hayat Itani | Student in an Organized Health Care Education/Training Program | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2020-06-08 |
| 1487283396 | Suheung Lee | Student in an Organized Health Care Education/Training Program | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2020-04-02 |
| 1356979249 | Daniel Robert Meis | Student in an Organized Health Care Education/Training Program | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2020-03-28 |
| 1154883577 | Yusuf A Alsharkawy | Student in an Organized Health Care Education/Training Program | 2308 Highway 144, Owensboro, KY 42303-0175 | 2019-04-03 |
| 1649701251 | Hamed Haghnazar | Student in an Organized Health Care Education/Training Program | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2017-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283721 | Brittany Michelle Woodward | Student in an Organized Health Care Education/Training Program | 107 Donovan Hts, Bardstown, KY 40004-8744 | 2020-10-21 |
| 1518566553 | Kenley N Joelson | Student in an Organized Health Care Education/Training Program | 2400 S 4th St Unit 710, Louisville, KY 40208-1526 | 2020-10-21 |
| 1235746512 | Nina S Smith | Student in an Organized Health Care Education/Training Program | 1115 Garvin Pl # 120, Louisville, KY 40203-3178 | 2020-09-30 |
| 1972117265 | Andrew Lanham | Student in an Organized Health Care Education/Training Program | 138 York St, Lexington, KY 40508-1879 | 2020-09-03 |
| 1215541834 | Sarah Sloan Goldberg | Student in an Organized Health Care Education/Training Program | 11201 Bodley Dr, Louisville, KY 40223-1387 | 2020-09-01 |
| 1104439439 | Rebekah Christine Preston | Student in an Organized Health Care Education/Training Program | 320 Colvin Cemetary Rd, Oil Springs, KY 41238-9152 | 2020-08-26 |
| 1639782949 | Vannarong Keo | Student in an Organized Health Care Education/Training Program | 805 Sam Christopher Ct, Richmond, KY 40475-3048 | 2020-08-26 |
| 1679184410 | Taylor Faulkner | Student in an Organized Health Care Education/Training Program | 2477 Ky Highway 1194, Stanford, KY 40484-8222 | 2020-08-14 |
| 1699392142 | Melon Nega | Student in an Organized Health Care Education/Training Program | 8076 Us 42, Florence, KY 41042-1474 | 2020-07-01 |
| 1649896648 | Katrina Antonette Casanova Tinoco | Student in an Organized Health Care Education/Training Program | 1325 North Race St., University of Louisville/glasgow, Glasgow, KY 42141 | 2020-06-25 |
| 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.