ALISA J CLICK (NPI# 1649251448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649251448 |
Entity Type | Individual |
Full Name | ALISA J CLICK |
Credential | ARNP |
Practice Address |
632 Slate Ave Owingsville KY 40360-2206 |
Mailing Address |
Po Box 1120 Owingsville KY 40360-1120 |
Practice Telephone | 6066746386 |
Practice Fax Number | 6066743096 |
Mailing Telephone | 6066746386 |
Mailing Fax Number | 6066743096 |
Enumeration Date | 2005-11-09 |
Last Update Date | 2009-04-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3814P | KY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 78009792 | 05 |
Street Address |
632 SLATE AVE |
City | OWINGSVILLE |
State | KY |
Zip Code | 40360-2206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144229212 | Glenn R Davis | Pharmacist | 632 Slate Ave, Owingsville, KY 40360-2206 | 2005-07-20 |
1255841797 | Lori Ann Ervin | Nurse Practitioner | 632 Slate Ave, Owingsville, KY 40360-2206 | 2017-10-11 |
1336660810 | Brittany A Blair | Nurse Practitioner | 632 Slate Ave, Owingsville, KY 40360-2206 | 2017-07-05 |
1699919761 | Raymond Wendell Watters | Family Medicine | 632 Slate Ave, Owingsville, KY 40360-2206 | 2009-04-20 |
1841334570 | St Claire Regional Medical Center | Pharmacy | 632 Slate Ave, Owingsville, KY 40360 | 2007-02-16 |
1447301171 | Wendy S Martin | Nurse Practitioner | 632 Slate Ave, Owingsville, KY 40360-2206 | 2007-01-16 |
1881782167 | Jonelle Edna Delawrence | Family Medicine | 632 Slate Ave, Owingsville, KY 40360-2206 | 2006-10-11 |
1134180920 | St. Claire Medical Center, Inc | Clinic/Center | 632 Slate Ave, Owingsville, KY 40360-2206 | 2006-03-31 |
1053302208 | Kimberly Bromagen | Physician Assistant | 632 Slate Ave, Owingsville, KY 40360-2206 | 2005-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902448749 | Erica Toy Wilson | Physician Assistant | 44 Water Street, Owingsville, KY 40360 | 2019-10-14 |
1811246143 | Jessica Sue Lykins | Nurse Practitioner | 42 Treadway Dr, Gudgell Ave, Owingsville, KY 40360 | 2012-08-31 |
1265709497 | Jason D Mckenzie | Nurse Practitioner | 42 Treadway Drive, Owingsville, KY 40360 | 2011-11-16 |
1528358298 | Handsbath | Public Health or Welfare | 68 Oberline St., Owingsville, KY 40360 | 2011-04-14 |
1093950800 | Kathy Moore Carter | Occupational Therapist | 406 Wyoming Rd, Owingsville, KY 40360 | 2008-12-08 |
1114131844 | First Steps | Public Health or Welfare | 39 Cedar Creek, Owingsville, KY 40360 | 2007-05-10 |
1750413035 | Bath County High School | Public Health or Welfare | 645 Chenault Dr, Owingsville, KY 40360 | 2007-03-12 |
1740312065 | Owingsville Elementary | Public Health or Welfare | 50 Chanault Drive, Owingsville, KY 40360 | 2007-03-12 |
1114059029 | Gateway District Health Department | Clinic/Center | 68 Oberline Street, Owingsville, KY 40360 | 2007-03-09 |
1710027701 | Gateway Regional Health Systems Inc | Internal Medicine | 44 Water St, Owingsville, KY 40360 | 2007-02-07 |
Find all providers in zip 40360 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811246143 | Jessica Sue Lykins | Nurse Practitioner | 42 Treadway Dr, Gudgell Ave, Owingsville, KY 40360 | 2012-08-31 |
1265709497 | Jason D Mckenzie | Nurse Practitioner | 42 Treadway Drive, Owingsville, KY 40360 | 2011-11-16 |
1932489325 | Torrie L Furman | Nurse Practitioner | 17 Miller Dr, Owingsville, KY 40360-2212 | 2011-08-17 |
1255326104 | Judy Auxier Lee | Nurse Practitioner | 555 Gudgell Ave, Owingsville, KY 40360 | 2005-09-16 |
1740681766 | Melissa Adams | Nurse Practitioner | 44 Water St, Owingsville, KY 40360-8944 | 2014-09-09 |
1962590364 | William R Grimes | Nurse Practitioner | 632 Slate Avenue, Owingsville, KY 40360 | 2006-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
Find all providers with the same taxonomy |
City | OWINGSVILLE |
Zip Code | 40360 |
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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.