MR. RANDY MAHON (NPI# 1598956930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598956930 |
| Entity Type | Individual |
| Full Name | MR. RANDY MAHON |
| Credential | APRN-BC |
| Practice Address |
85 Birch Rd Apt 2 Louisa KY 41230-9220 |
| Mailing Address |
Po Box 568 Williamson WV 25661-0568 |
| Practice Telephone | 3049287387 |
| Mailing Telephone | 3049287387 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
59883 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
85 BIRCH RD APT 2 |
| City | LOUISA |
| State | KY |
| Zip Code | 41230-9220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533599 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 105-107 E Madison St., Louisa, KY 41230 | 2019-11-18 |
| 1780236570 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 1640 Jerushia Branch Rd., Booneville, KY 41230 | 2019-07-11 |
| 1922528272 | Samantha Paige Stanley | Peer Specialist | 221 Windy Hill Drive, Louisa, KY 41230 | 2017-06-27 |
| 1407393457 | Chandra D Blevins | Peer Specialist | 125 N. Main Cross St., Louisa Office Addiction Recovery Care, Louisa, KY 41230 | 2017-01-30 |
| 1033654876 | Amanda Hurley | Peer Specialist | 125 N. Main Cross Street, Louisa, KY 41230 | 2017-01-04 |
| 1780127753 | Dakota Williams | Peer Specialist | 125 N Cross Main St, Louisa, KY 41230 | 2016-11-23 |
| 1568905529 | Tara Runyon | Peer Specialist | 125 N Main Cross Street, Louisa, KY 41230 | 2016-11-23 |
| 1134575624 | Misty Howell I | Peer Specialist | 125 S. Main Cross Street, Louisa, KY 41230 | 2016-05-13 |
| 1720404478 | Louisa Dental Care | Dentist | 203 S. Water St, Louisa, KY 41230 | 2014-03-05 |
| 1326336728 | Elite Chiropractic Psc | Chiropractor | 4347 Highway 2565, Louisa, KY 41230 | 2011-07-19 |
| Find all providers in zip 41230 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083241673 | Amanda Lee Young | Nurse Practitioner | 150 Highway 1185, Louisa, KY 41230-7948 | 2020-03-24 |
| 1548894447 | Ashley Marie Fletcher | Nurse Practitioner | 584 Mattie Rd, Louisa, KY 41230-7817 | 2020-02-28 |
| 1316421662 | Timothy James Caudill | Nurse Practitioner | 40 Professional Park Dr, Louisa, KY 41230-9644 | 2018-09-23 |
| 1871038281 | Melissa Renee Dixon | Nurse Practitioner | 108 W Perry St, Louisa, KY 41230-1142 | 2016-12-21 |
| 1144503418 | Kevin Gauze | Nurse Practitioner | 2583 Highway 644, Ste 1, Louisa, KY 41230-9436 | 2011-09-23 |
| 1346547023 | Vanessa Linae Mathieu | Nurse Practitioner | 108 W Madison St, Louisa, KY 41230-1327 | 2011-02-16 |
| 1194959452 | Tri State Family Medical Center, LLC | Nurse Practitioner | 2583 Highway 644 Ste 1, Louisa, KY 41230-9436 | 2009-05-14 |
| 1356950315 | Shelby Pigmon Thompson | Nurse Practitioner | 2485 Highway 644, Louisa, KY 41230-9242 | 2020-07-27 |
| 1700413697 | Lisa Cheek | Nurse Practitioner | 270 E Clayton Ln, Louisa, KY 41230-8622 | 2020-03-23 |
| 1174173538 | Brittany Tackett | Nurse Practitioner | 125 S Main Cross St, Louisa, KY 41230-1065 | 2019-09-18 |
| Find all providers in LOUISA | ||||
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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.