KIRTRICA CAMPBELL CORNELIUS (NPI# 1417386004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417386004 |
| Entity Type | Individual |
| Full Name | KIRTRICA CAMPBELL CORNELIUS |
| Credential | APRN |
| Practice Address |
125 E Maxwell St Suite 200 Lexington KY 40508-2678 |
| Practice Telephone | 8592182817 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
3007728 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
125 E MAXWELL ST SUITE 200 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40508-2678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982694139 | Emily W Cunningham | Obstetrics & Gynecology | 125 E Maxwell St, Suite 140, Lexington, KY 40508-2678 | 2005-10-27 |
| 1932598729 | Kate Harris | Nurse Practitioner | 125 E Maxwell St, Lexington, KY 40508-2678 | 2015-01-15 |
| 1144585233 | Luis Francisco Hidalgo Ponce | Internal Medicine | 125 E Maxwell St, Lexington, KY 40508 | 2012-07-05 |
| 1366608499 | Steven Randolph Waldman | Specialist | 125 E Maxwell St, Suite 303, Lexington, KY 40508-2678 | 2008-07-29 |
| 1790974061 | Jeffrey Wright Parr | Orthopaedic Surgery | 125 E Maxwell St, Suite 202, Lexington, KY 40508-2678 | 2007-10-23 |
| 1154519668 | University of Kentucky Hospital | Internal Medicine | 125 E Maxwell St, Suite 100, Lexington, KY 40508-2678 | 2007-10-10 |
| 1235337429 | Sara Simms Meegan | Nurse Practitioner | 125 E Maxwell St, Suite 201, Lexington, KY 40508-2678 | 2007-07-10 |
| 1003033705 | Glen W Simons, M.d., P.s.c. | Surgery | 125 E Maxwell St, Suite 102, Lexington, KY 40508-2678 | 2007-04-20 |
| 1548307085 | Waldman Plastic Surgery Center | Specialist | 125 E Maxwell St, Suite 303, Lexington, KY 40508-2678 | 2007-02-01 |
| 1649381112 | Leslie C Rogers | Registered Nurse | 125 E Maxwell St, Suite 303, Lexington, KY 40508-2678 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265906192 | Core Chiropractic and Family Wellness Pllc | Clinic/Center | 524 E.second St, Lexington, KY 40508 | 2019-01-14 |
| 1831669720 | Lily Namegabe | Community Health Worker | 135 Newtown Pike Bldg 1, Lexington, KY 40508 | 2018-12-04 |
| 1669994091 | Shawn Luchtefeld | Counselor | 289 W Loudon Ave, Lexington, KY 40508 | 2017-07-07 |
| 1861808271 | Rucha Shukla | Pediatrics | 138 Leader Ave Rm 9a, Lexington, KY 40508 | 2014-07-07 |
| 1881012946 | Peter Movilla | Obstetrics & Gynecology | Uk Women's Health Obstetrics and Gynecology, 125 E Maxwell St Ste 140, Lexington, KY 40508 | 2014-04-04 |
| 1255753422 | Candace Cross | Social Worker | Kentucky Counseling Center, LLC, 1353 West Main Street, Kentucky, Lexington, KY 40508 | 2014-01-07 |
| 1467896845 | Andrew Russell Roads | Psychiatry & Neurology | Uk University Health Service, 830 S Limestone, Lexington, KY 40508 | 2013-04-29 |
| 1104119890 | Thomas Michael Isaacs | Pharmacist | 130 W. Loudon Ave, Lexington, KY 40508 | 2011-05-27 |
| 1174839401 | Gerardo Manuel Heredia Melero | Obstetrics & Gynecology | Uk Obgyn, 125 E. Maxwell Street, Lexington, KY 40508 | 2010-08-24 |
| 1558512814 | Cortney Youens Lee | Surgery | 125 E. Maxwell St, Suite 302, Lexington, KY 40508 | 2008-10-06 |
| Find all providers in zip 40508 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868367 | Emily Han | Nurse Practitioner | 3245 Orchard Grass Rd, Lexington, KY 40509-8639 | 2020-10-14 |
| 1548740111 | Doreen M Legere | Nurse Practitioner | Uk Division of Pulmonary Critical Care 800 Rose St, Lexington, KY 40536-0001 | 2018-08-14 |
| 1548747884 | William Brian James | Nurse Practitioner | Univ of Ky 800 Rose Street, Lexington, KY 40536-0001 | 2018-07-19 |
| 1851608459 | Shannon C Shumaker | Nurse Practitioner | 800 Rose Street Gill Heart Institute, Lexington, KY 40536-0298 | 2010-09-03 |
| 1578890224 | Dana Lenore Smith | Nurse Practitioner | 4711 Sunset Boulevard, Agape Primary Care At Twelve Mile Creek, Lexington, SC 29072 | 2009-11-17 |
| 1598090243 | Jill Marie Clemmons | Nurse Practitioner | University of Kentucky Department Of, 740 South Limestone St. Room A125, Lexington, KY 40536-0001 | 2009-10-14 |
| 1679712087 | Juliann Paige Matheny | Nurse Practitioner | 138 Leader Ave Suite 119, Lexington, KY 40506-3446 | 2009-02-09 |
| 1508967571 | Carol Lynn Thompson | Nurse Practitioner | Uk Division of Pulmonary Critical Care, 800 Rose Street, Lexington, KY 40536-0284 | 2006-09-25 |
| 1508868266 | Tonja A Gantt | Nurse Practitioner | 716 Old Cherokee Rd, Lexington, SC 29072-9406 | 2005-08-12 |
| 1083616064 | Debra Dellay | Nurse Practitioner | 989 Governors Ln, Ste 180, Lexington, KY 40513-1175 | 2005-08-10 |
| Find all providers in LEXINGTON | ||||
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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.