MS. KRISTI ROBIN BOHANON (NPI# 1598196123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598196123 |
| Entity Type | Individual |
| Full Name | MS. KRISTI ROBIN BOHANON |
| Other Name | KRISTI ROBIN VAUGHN |
| Credential | LPCC-S, NBCC, QMPH |
| Practice Address |
84 Hustonville St Liberty KY 42539-3469 |
| Mailing Address |
81 Ashwood Dr Campbellsville KY 42718-7516 |
| Practice Telephone | 6063039011 |
| Mailing Telephone | 2709950244 |
| Enumeration Date | 2013-12-08 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
308609 | KY | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
0383 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100393920 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4500 Campbellsville Rd, Columbia, KY 427289314 | 2703846750 |
| Street Address |
84 HUSTONVILLE ST |
| City | LIBERTY |
| State | KY |
| Zip Code | 42539-3469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679093876 | Robin Leann Atwood | Nurse Practitioner | 84 Hustonville St, Liberty, KY 42539-3456 | 2017-06-20 |
| 1023545241 | Advanced Family Medical Clinic Liberty | Family Medicine | 84 Hustonville St, Liberty, KY 42539-3456 | 2017-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710547211 | Adult Day Health, Inc. | Clinic/Center | 39 Hwy 49, Liberty, KY 42539 | 2019-06-17 |
| 1144521303 | David Antonio Medina | Chiropractor | 69 Hustonville St., Liberty, KY 42539 | 2010-11-04 |
| 1356677694 | Masata, Inc. | Community/Behavioral Health | 549 Middleburg St., Liberty, KY 42539 | 2009-10-21 |
| 1174798078 | Dr. Michele Beeler, D.m.d., Pllc | Dentist | 650 Whipp Avenue, Liberty, KY 42539 | 2008-04-23 |
| 1134314230 | Cundiff Family Chiropractic, Psc | Chiropractor | 256 N. Wallace Wilkinson Blvd., Liberty, KY 42539 | 2007-09-11 |
| 1770782633 | Lake Cumberland District Health | Public Health or Welfare | 2834 S. Us 127, Liberty, KY 42539 | 2007-07-12 |
| 1568596286 | Back and Body Chiropractic Center Inc. | Chiropractor | 69 Hustonville Street, Liberty, KY 42539 | 2007-03-15 |
| 1497890545 | Lake Cumberland District Health Department | Public Health or Welfare | 199 Adams Street, Liberty, KY 42539 | 2007-02-20 |
| 1891836581 | Stanford Family Medicine & Obstetrics Psc | Legal Medicine | 19 Abes Plaza, Old Hustonville Rd, Liberty, KY 42539 | 2007-02-08 |
| 1740331537 | Sheila Ann Ping | Speech-Language Pathologist | 7235 Thomas Ridge Road, Liberty, KY 42539 | 2007-01-16 |
| Find all providers in zip 42539 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425448 | Herbert Douglas Geiger | Counselor | 949 Wellington Way, Liberty, MO 64068-1481 | 2020-07-30 |
| 1326683814 | Jacob Laton Wharton | Counselor | 1512 Ne 96th St Ste A, Liberty, MO 64068-7174 | 2019-11-08 |
| 1700321361 | Deena Watkins | Counselor | 9 Victory Dr Ste 2b, Liberty, MO 64068-3807 | 2017-01-05 |
| 1336591890 | Joshua Harms | Counselor | 7 Westowne St, Liberty, MO 64068-1166 | 2016-07-08 |
| 1396127056 | Mustang Medicine Works, LLC | Counselor | 25 Iselin St, Liberty, SC 29657-1508 | 2015-06-18 |
| 1124428016 | Mustang Medicine Works, LLC | Counselor | 5642 Moorefield Memorial Hwy., Liberty, SC 29657 | 2014-08-27 |
| 1780007344 | Robert Mason Burdine Jr. | Counselor | 314 Springdale Ave, Liberty, SC 29657-3807 | 2014-01-31 |
| 1306186978 | Michael James Davis | Counselor | 1524 Ne 96th St Ste C, Liberty, MO 64068-1380 | 2013-02-19 |
| 1558625343 | Kelly R Brandsgaard | Counselor | 4 Westowne St Ste 403, Liberty, MO 64068-3511 | 2012-06-27 |
| 1629346010 | Joyce K. Baker | Counselor | 1205 W College St, Liberty, MO 64068-1035 | 2011-12-13 |
| Find all providers in LIBERTY | ||||
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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.