PENNY RAE LEGEREIT (NPI# 1578668455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578668455 |
| Entity Type | Individual |
| Full Name | PENNY RAE LEGEREIT |
| Other Name | PENNY RAE SOMMER |
| Credential | PA |
| Practice Address |
1532 Lone Oak Rd Suite 405 Paducah KY 42003-7913 |
| Mailing Address |
Po Box 636961 Cincinnati OH 45263-6961 |
| Practice Telephone | 2704414300 |
| Practice Fax Number | 2704414925 |
| Mailing Telephone | 5139815130 |
| Mailing Fax Number | 5139815015 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2015-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA769 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 95006011 | 05 |
| Street Address |
1532 LONE OAK RD SUITE 405 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-7913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001601 | James Shumaker | Pediatrics | 1532 Lone Oak Rd, Ste 345, Paducah, KY 42003-7942 | 2005-05-24 |
| 1790225977 | Tiffany Lynn Cates | Nurse Practitioner | 1532 Lone Oak Rd, Ste 143, Paducah, KY 42003 | 2017-03-07 |
| 1700258183 | Kimberly Jernigan | Nurse Practitioner | 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7942 | 2015-10-26 |
| 1235505827 | Darrell New I | Nurse Practitioner | 1532 Lone Oak Rd, Suite 150, Paducah, KY 42003-7940 | 2015-08-18 |
| 1194112755 | Catherine Lee Reimnitz | Nurse Practitioner | 1532 Lone Oak Rd, Suite 345, Paducah, KY 42003-7942 | 2015-04-22 |
| 1093101958 | Julie Ann Emerine Heeb | Nurse Practitioner | 1532 Lone Oak Rd, Suite 430, Paducah, KY 42003-7913 | 2015-04-07 |
| 1508115007 | Kristie Hack | Nurse Practitioner | 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7942 | 2012-08-30 |
| 1114285723 | Lance D Williamson | Nurse Practitioner | 1532 Lone Oak Rd, Suite 315, Paducah, KY 42003-7913 | 2012-05-02 |
| 1730475302 | Elyse A Hale | Specialist/Technologist, Other | 1532 Lone Oak Rd, Suite 445, Paducah, KY 42003-7913 | 2011-06-22 |
| 1134433931 | Deborah Lynn Bray | Clinical Nurse Specialist | 1532 Lone Oak Rd, Suite 415, Paducah, KY 42003-7913 | 2010-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831371376 | Scott Burton Harp | Physician Assistant | 546 Lone Oak Rd., Paducah, KY 42001 | 2007-11-27 |
| 1598767055 | Tolly B Alsup | Physician Assistant | 3101 Parisa Dr., Paducah, KY 42003 | 2005-08-15 |
| 1609878768 | Rita L Mcintosh | Physician Assistant | 1532 Lone Oak Rd Ste 230, Kentucky Spine & Brain, Paducah, KY 42003 | 2005-06-02 |
| 1730528118 | Jill Renee Kuhlmann | Physician Assistant | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2013-06-19 |
| 1578858742 | Jerry Solon Smith | Physician Assistant | 4787 Alben Barkley Drive, Paducah, KY 42002 | 2011-06-15 |
| 1548579170 | Jessica June Carr | Physician Assistant | 2601 Kentucky Ave, Suite 301, Paducah, KY 42003 | 2010-09-30 |
| 1487801114 | Rachel Amanda Crowley | Physician Assistant | 2601 Kentucky Ave, Suite 301, Paducah, KY 42003-3817 | 2008-08-25 |
| 1285832493 | Dawn R Holland | Physician Assistant | 2850 Lone Oak Rd Ste 4, Paducah, KY 42003-8043 | 2007-07-10 |
| 1972614253 | Monica Tinsley Vinyard | Physician Assistant | 2620 Perkins Creek Dr, Paducah, KY 42001-7494 | 2006-08-31 |
| 1619083102 | Lisa A. Boget | Physician Assistant | 2721 W Park Dr, Paducah, KY 42001-9058 | 2006-08-21 |
| Find all providers in PADUCAH | ||||
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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.