SHIRLEY MOHREN-GRAVES (NPI# 1568461465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568461465 |
| Entity Type | Individual |
| Full Name | SHIRLEY MOHREN-GRAVES |
| Credential | ARNP |
| Practice Address |
102 Medical Center Dr Hazard KY 41701 |
| Mailing Address |
455 S 4th St Starks Building, Suite 423 Louisville KY 40202-2593 |
| Practice Telephone | 6064396713 |
| Mailing Telephone | 5024427767 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2018-07-24 |
| NPI Deactivation Date | 03/20/2006 |
| NPI Reactivation Date | 2006-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
700001394A | IN | Behavioral Health & Social Service Providers |
| Y | 363L00000X | Nurse Practitioner | 3003693 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
3003693 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
4960 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
3003693 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
102 MEDICAL CENTER DR |
| City | HAZARD |
| State | KY |
| Zip Code | 41701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891338299 | Kendra N Wiseman | Nurse Practitioner | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2019-10-18 |
| 1548803877 | Teresa L Gibson | Nurse Practitioner | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2019-10-18 |
| 1073917746 | Jerrina Gusler | Nurse Practitioner | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2014-10-09 |
| 1780918573 | Suzette Trent | Nurse Practitioner | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2009-09-25 |
| 1912162611 | Farhan Sher Fazal | Psychiatry & Neurology | 102 Medical Center Dr, Appalachian Regional Health Medical Center, Hazard, KY 41701-9421 | 2008-07-22 |
| 1689719122 | Hazard Arh Psychiatric Center | Psychiatry & Neurology | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2007-02-21 |
| 1992816920 | Alberto Blasi | Psychiatry & Neurology | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2006-08-31 |
| 1891806550 | Ramanakar V. Tiruchinapalli | Psychiatry & Neurology | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2006-08-31 |
| 1215046586 | Osman M Saeed | Psychiatry & Neurology | 102 Medical Center Dr, Hazard, KY 41701-9421 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750658621 | Jonathan Scott Helton | Nurse Practitioner | 625 Memorial Dr Ste 1, Hazard, KY 41701-1380 | 2011-11-21 |
| 1962717132 | Janie Combs | Nurse Practitioner | 48 Daniel Boone Plz, Hazard, KY 41701-5334 | 2010-08-12 |
| 1558690180 | Collaborative Care Medical Associates Inc. | Nurse Practitioner | 941 N Main St, Hazard, KY 41701-1377 | 2009-12-10 |
| 1245295138 | Suzanne Price | Nurse Practitioner | 181 Roy Campbell Dr, Hazard, KY 41701 | 2006-04-20 |
| 1376548131 | Jane Bowen | Nurse Practitioner | 305 Morton Blvd, Hazard, KY 41701-9418 | 2005-06-17 |
| 1477556538 | Sheri Lynne Ratliff | Nurse Practitioner | 200 Medical Center Dr, Suite 2d, Hazard, KY 41701-9466 | 2005-05-23 |
| 1336772342 | Jessica Lemaster | Nurse Practitioner | 100 Airport Gardens Rd Ste 311, Hazard, KY 41701-9529 | 2020-02-18 |
| 1104489186 | Candida R Dixon | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2019-04-16 |
| 1942765011 | Katherine Lynn Cornett | Nurse Practitioner | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2019-02-04 |
| 1972077121 | Kaitlin Kassandra Watts | Nurse Practitioner | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2019-01-21 |
| Find all providers in HAZARD | ||||
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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.