CLARK REGIONAL PHYSICIAN PRACTICES LLC (NPI# 1629489075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629489075 |
| Entity Type | Organization |
| Organization Name | CLARK REGIONAL PHYSICIAN PRACTICES LLC |
| Other Organization Name | CLARK DIGESTIVE CARE CENTER |
| Practice Address |
225 Hospital Dr Ste 200b Winchester KY 40391-7676 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 8597376488 |
| Mailing Telephone | 6159207905 |
| Mailing Fax Number | 6159208935 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2017-09-27 |
| Authorized Official Name | SARA MILLER (DIRECTOR) |
| Authorized Official Telephone | 6152029581 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Clark Digestive Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073864559 | Clark Regional Physician Practices LLC | Surgery | 225 Hospital Drive Suite 200b, Winchester, KY 40391-1158 | 2012-09-25 |
| 1508204223 | Clark Regional Physician Practices LLC | Internal Medicine | 225 Hospital Dr, Suite 300a, Winchester, KY 40391-7676 | 2013-06-05 |
| 1114360583 | Clark Regional Physician Practices LLC | Family Medicine | 120 Professional Ave, Winchester, KY 40391-1116 | 2013-04-16 |
| 1144663220 | Clark Regional Physician Practices LLC | Nurse Practitioner | 225 Hospital Dr, Suite 200b, Winchester, KY 40391-7676 | 2013-04-09 |
| Street Address |
225 HOSPITAL DR STE 200B |
| City | WINCHESTER |
| State | KY |
| Zip Code | 40391-7676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316946932 | Rebecca Diane Bartee | Surgery | 225 Hospital Dr, Winchester, KY 40391-7604 | 2005-07-15 |
| 1760949184 | Jennifer Leigh Morris | Nurse Practitioner | 225 Hospital Dr, Winchester, KY 40391-7604 | 2019-02-21 |
| 1952877177 | Rachel Gilliam | Nurse Practitioner | 225 Hospital Dr, Bldg B, Ste 255, Winchester, KY 40391-7676 | 2018-10-15 |
| 1700258589 | Tonya Kay Hadden | Nurse Practitioner | 225 Hospital Dr, Winchester, KY 40391-7604 | 2015-10-20 |
| 1720478936 | Mary Kendall Warner | Physician Assistant | 225 Hospital Dr, Winchester, KY 40391-7676 | 2015-01-26 |
| 1982007431 | Stewart Vickrey | Nurse Practitioner | 225 Hospital Dr, Winchester, KY 40391-7676 | 2014-09-29 |
| 1518378843 | Cecelia Marie Howard | Nurse Practitioner | 225 Hospital Dr, Winchester, KY 40391-7676 | 2014-05-08 |
| 1508204223 | Clark Regional Physician Practices LLC | Internal Medicine | 225 Hospital Dr, Suite 300a, Winchester, KY 40391-7676 | 2013-06-05 |
| 1144663220 | Clark Regional Physician Practices LLC | Nurse Practitioner | 225 Hospital Dr, Suite 200b, Winchester, KY 40391-7676 | 2013-04-09 |
| 1114282605 | Clark Regional Physician Practices, LLC | Podiatrist | 225 Hospital Dr, Winchester, KY 40391-7604 | 2012-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255838710 | Sharrock Strength and Rehab LLC | Clinic/Center | 1932 Bypass Road, Winchester, KY 40391 | 2018-04-11 |
| 1316264385 | Yvonne Marie Pendleton | Massage Therapist | 126 Professional Ave., Winchester, KY 40391 | 2010-04-29 |
| 1346478310 | Mack Anderson Kidd IIi | Registered Nurse | 105 Lindberg Rd., Winchester, KY 40391 | 2009-06-29 |
| 1043487572 | Rankin Douglas Skinner | Dentist | 726 Boonesboro Plaza, Winchester, KY 40391 | 2008-05-14 |
| 1427233592 | Clark County Health Department | Public Health or Welfare | 244 E. Broadway, Shearer Elementary School, Winchester, KY 40391 | 2008-01-08 |
| 1437334505 | Clark County Health Department | Public Health or Welfare | 250 N. Main St., Fannie Bush Elementary, Winchester, KY 40391 | 2008-01-08 |
| 1598886251 | Winchester Open Mri | Radiology | 475 Shoppers Village Drive, Winchester, KY 40391 | 2007-04-02 |
| 1265509285 | James Warren Rice | Orthopaedic Surgery | 400 Shoppers Dr, Winchester, KY 40391 | 2006-11-29 |
| 1932279262 | J Todd Scobee Dmd Psc | Clinic/Center | 1216 West Lexington Ave, Winchester, KY 40391 | 2006-11-08 |
| 1396823936 | Commonwealth Urology, Psc | Urology | 68 East Elkin Street, Stanton, KY 40391 | 2006-11-01 |
| Find all providers in zip 40391 | ||||
| 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 |
|---|---|---|---|---|
| 1659994234 | Elizabeth Marie Scamperle | Nurse Practitioner | 5 Hawthorne Rd, Winchester, MA 01890-2234 | 2020-05-18 |
| 1790318103 | Lisa Michelle Boggs | Nurse Practitioner | 225 Hospital Dr Ste 110, Winchester, KY 40391-7624 | 2020-02-14 |
| 1871093450 | Sharara Kazimi | Nurse Practitioner | 1818 Amherst St Ste 201, Winchester, VA 22601-2808 | 2018-02-20 |
| 1144749326 | Kelley Marie Jewett | Nurse Practitioner | 20 S Stewart St Ste 100, Winchester, VA 22601-4149 | 2017-09-19 |
| 1851789606 | Wendy Burns | Nurse Practitioner | 400 Campus Boulevard, Suite 210, Winchester, VA 22601 | 2015-01-02 |
| 1316347925 | Melisa Sirna | Nurse Practitioner | 480 W Jubal Early Dr Ste 230, Winchester, VA 22601-6448 | 2014-09-02 |
| 1073952586 | Sherry Barstad | Nurse Practitioner | 568 Hospital Rd, Winchester, TN 37398-2409 | 2013-06-18 |
| 1730333964 | Brenda J Johnston | Nurse Practitioner | 333 W Cork St Ste 100, Winchester, VA 22601-3870 | 2008-11-14 |
| 1275665143 | Shanda L J Morris Md, Pllc | Nurse Practitioner | 1120 Mccann Dr, Winchester, KY 40391-1157 | 2007-03-09 |
| 1659336923 | Beth Ellen Killian | Nurse Practitioner | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2006-04-19 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 40391 |
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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.