MRS. REISHA L CAUDILL (NPI# 1497189518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497189518 |
| Entity Type | Individual |
| Full Name | MRS. REISHA L CAUDILL |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1340 S Laurel Rd London KY 40744-8304 |
| Practice Telephone | 8598134109 |
| Mailing Telephone | 8598134109 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3008255 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3008255 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 20-2056353 | 05 |
| Street Address |
1340 S LAUREL RD |
| City | LONDON |
| State | KY |
| Zip Code | 40744-8304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043249816 | Premier Home Care, Inc | Durable Medical Equipment & Medical Supplies | 1340 S Laurel Rd, Offices 104-106, London, KY 40744 | 2006-07-02 |
| 1629569488 | Amanda Lee Wyatt | Case Manager/Care Coordinator | 1340 S Laurel Rd, London, KY 40744-8304 | 2018-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054627 | Savanna Helton | Counselor | 934 South Laurel Road, London, KS 40744 | 2019-07-12 |
| 1972063204 | Kentucky Rural Health Information Technology Network, Inc. | Community/Behavioral Health | 934 S. Laurel Rd., London, KY 40744 | 2019-03-22 |
| 1184158925 | Laceysha Jamison | Counselor | 21 Middeleground Way, London, KY 40744 | 2017-04-19 |
| 1255705018 | Felicia Church | Speech-Language Pathologist | 248 J Crews Road, London, KY 40744 | 2015-11-17 |
| 1952795163 | Case Managment Options of Kentucky | Case Manager/Care Coordinator | 563 Lockaby Ln, London, KY 40744 | 2015-03-25 |
| 1689066953 | Sitters Etc., LLC | In Home Supportive Care | 1340 S. Laurel Rd, London, KY 40744 | 2015-02-24 |
| 1407280019 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 586 Hal Rogers Dr, London, KY 40744 | 2013-08-30 |
| 1760603716 | Janis J. Baker | Speech-Language Pathologist | 351 Royal Drive, London, KY 40744 | 2007-05-01 |
| 1114358702 | Dereni Blake Brock | Physical Therapist | 195 Commercial Dr, Ste 100, London, KY 40744-5234 | 2013-12-06 |
| 1104928969 | Edward L Valentine IIi | Physical Therapist | 195 Commercial Dr Ste 100, London, KY 40744-5234 | 2006-09-02 |
| Find all providers in zip 40744 | ||||
| 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 |
|---|---|---|---|---|
| 1609375955 | Rural Mental Health Solutions | Nurse Practitioner | 201 W Dixie St, London, KY 40741-1958 | 2018-02-01 |
| 1356871560 | Holly D Steely | Nurse Practitioner | 300 Carrera Dr, London, KY 40741-6303 | 2017-06-20 |
| 1972701712 | Wanda F France | Nurse Practitioner | 96 Phi Vlg, Unit 1, London, KY 40744-8237 | 2007-07-03 |
| 1104451053 | Laurel Family Mental Health | Nurse Practitioner | 1364 S Laurel Rd, London, KY 40744-8304 | 2020-03-10 |
| 1437629839 | Matthew E Hauenstein | Nurse Practitioner | 1851 State Route 56, London, OH 43140-1377 | 2018-11-28 |
| 1235622390 | Kelli Mills | Nurse Practitioner | 803 Meyers Baker Rd Ste 200, London, KY 40741-3040 | 2018-06-12 |
| 1548781164 | Jerry Kunkel | Nurse Practitioner | 803 Meyers Baker Rd Ste 200, London, KY 40741-3040 | 2017-07-05 |
| 1740419050 | Diana M Buskirk | Nurse Practitioner | 1675 S Main St, London, KY 40741-2050 | 2009-07-08 |
| 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 | ||||
Please comment or provide details below to improve the information on MRS. REISHA L CAUDILL.
| 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.