SOOKSAI KAEWBUA (NPI# 1366962599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366962599 |
| Entity Type | Individual |
| Full Name | SOOKSAI KAEWBUA |
| Credential | DNP, APRN, PMHNP-BC |
| Practice Address |
209 N Maysville St Ste 200 Mount Sterling KY 40353 |
| Mailing Address |
209 N Maysville St Ste 200 Mount Sterling KY 40353-1179 |
| Practice Telephone | 8594047686 |
| Practice Fax Number | 8594988160 |
| Mailing Telephone | 8594047686 |
| Mailing Fax Number | 8594988160 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2018-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3011504 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100471890 | 05 |
| Street Address |
209 N MAYSVILLE ST STE 200 |
| City | MOUNT STERLING |
| State | KY |
| Zip Code | 40353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083187934 | Carleigh Jean Sapp | Nurse Practitioner | 209 N Maysville St Ste 200, Mount Sterling, KY 40353-1179 | 2019-01-03 |
| 1134629207 | Sterling Health Solutions Inc | Pharmacy | 209 N Maysville St Ste 200, Mount Sterling, KY 40353 | 2018-02-15 |
| 1477949956 | Jessica Elisabeth Ison | Family Medicine | 209 N Maysville St Ste 200, Mount Sterling, KY 40353-1179 | 2015-04-10 |
| 1912203522 | Lauren N Conner | Nurse Practitioner | 209 N Maysville St Ste 200, Mount Sterling, KY 40353-1179 | 2011-01-28 |
| 1285822643 | Lori A Wells | Nurse Practitioner | 209 N Maysville St Ste 200, Mount Sterling, KY 40353-1179 | 2007-10-11 |
| 1912918574 | Srinivas C. Chevuru | Pediatrics | 209 N Maysville St Ste 200, Mount Sterling, KY 40353-1179 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982237798 | Nicole Teann Fossier | Developmental Therapist | 220 Blake Way, Mt. Sterling, KY 40353 | 2020-02-20 |
| 1215414578 | Emily Renee Nickell | Optometrist | 1 N Maysville Street, Mt. Sterling, KY 40353 | 2018-07-19 |
| 1366978538 | Regency Memory Care | Assisted Living Facility | 130 Sterling Way, Mount Sterling, KY 40353 | 2017-05-10 |
| 1760838452 | Tammy Mccarty Mccarty | Developmental Therapist | 104 Iroquois Drive, Mount Sterling, KY 40353 | 2016-05-11 |
| 1447660089 | Gateway Juvenile Diversion Project, Inc. | Clinic/Center | 37 North Maysville St, Mt Sterlig, KY 40353 | 2014-05-05 |
| 1508285024 | Natalie Spencer | Counselor | 37 North Maysville St., Mt. Sterling, KY 40353 | 2014-04-11 |
| 1316371925 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 709 Airport Rd, Mount Sterling, KY 40353 | 2013-08-30 |
| 1477999241 | Mckenzie S Grey | Physical Therapy Assistant | 624 North Maysville Ave, Mt Sterling, KY 40353 | 2013-05-20 |
| 1194066894 | Sterling Health Solutions, Inc | Pharmacy | 209 North Maysville St, Suite 200, Mt. Sterling, KY 40353 | 2013-03-06 |
| 1487930483 | Nathan Corey Rusher | Dentist | 635 N. Maysville St., Ste B, Mount Sterling, KY 40353 | 2011-10-24 |
| Find all providers in zip 40353 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1861099269 | Bowling Green Psychiatry | Nurse Practitioner | 1911 Scottsville Rd Ste B, Bowling Green, KY 42104-3303 | 2020-10-08 |
| 1811594385 | Christine Young | Nurse Practitioner | 6804 Bainbridge Ct, Louisville, KY 40228-2335 | 2020-10-07 |
| 1578170890 | Rebecca O'hair | Nurse Practitioner | 500 Thames Cir, Nicholasville, KY 40356-9219 | 2020-09-30 |
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1235749581 | Melissa K Young-flynn | Nurse Practitioner | 713 Millpond Rd, Lexington, KY 40514-1570 | 2020-08-02 |
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1649889932 | Hannah Rose Wilson Gibbs | Nurse Practitioner | 326 Roland Avenue, Owenton, KY 40359 | 2020-07-23 |
| 1962020875 | Sheryl List | Nurse Practitioner | 2103 Madison Dr, Hebron, KY 41048-7399 | 2020-07-07 |
| 1619594751 | Whitney Mariah Rizzo | Nurse Practitioner | 2774 Petros Browning Rd, Rockfield, KY 42274-9762 | 2020-07-05 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT STERLING |
| Zip Code | 40353 |
Please comment or provide details below to improve the information on SOOKSAI KAEWBUA.
| 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.