MS. KATRINA ANTONETTE CASANOVA TINOCO (NPI# 1649896648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649896648 |
| Entity Type | Individual |
| Full Name | MS. KATRINA ANTONETTE CASANOVA TINOCO |
| Credential | M.D. |
| Practice Address |
1325 North Race St., University of Louisville/glasgow Glasgow KY 42141 |
| Mailing Address |
3853 Dylan Pl. Lexington KY 40514 |
| Practice Telephone | 2706514865 |
| Practice Fax Number | 2706514751 |
| Mailing Telephone | 8594899665 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1325 NORTH RACE ST., UNIVERSITY OF LOUISVILLE/GLASGOW |
| City | GLASGOW |
| State | KY |
| Zip Code | 42141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505912 | Adriene Elizabeth Wilson | Nurse Practitioner | 310 N. L. Rogers Blvd., Glasgow, KY 42141 | 2020-07-14 |
| 1245744630 | Town and Country Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 742a East Main Street, Glasgow, KY 42141 | 2017-11-22 |
| 1821413022 | Russell England | Nurse Practitioner | 370 Beaver Mound Circle, Glasgow, KY 42141 | 2014-02-25 |
| 1447507439 | Rehabcare | Skilled Nursing Facility | 109homewoodblvd, Glasgow, KY 42141 | 2012-08-08 |
| 1578847778 | Alexander Kwadwo Somuah | Pharmacist | 1001 W. Main St, Glasgow, KY 42141 | 2011-10-06 |
| 1518240522 | William David Wiley | Pharmacist | 1001 West Main St., Glasgow, KS 42141 | 2011-09-26 |
| 1003121732 | Teresa Katherine Essex | Speech-Language Pathologist | 341 Ginger Rd, Glasgow, KY 42141 | 2010-08-18 |
| 1396915468 | R David Fant Md Psc | Pediatrics | 1407 North Race St, Glasgow, KY 42141 | 2008-03-05 |
| 1003021957 | Eddy Joe Newberry II | Dentist | 400 S. Broadway, Glasgow, KY 42141 | 2007-05-14 |
| 1619006012 | Donna Michelle Warren | Pediatrics | 301 Professional Park, Glasgow, KY 42141 | 2007-03-04 |
| Find all providers in zip 42141 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609061910 | Jennifer E. Peavey | Student in an Organized Health Care Education/Training Program | 105 Bob White Way, Apt. A, Glasgow, KY 42141-5146 | 2007-09-10 |
| 1467080085 | Ronald A Jordan Jr. | Student in an Organized Health Care Education/Training Program | 1325 N Race St, Glasgow, KY 42141-3427 | 2020-03-30 |
| 1891323614 | Josiah James Tour | Student in an Organized Health Care Education/Training Program | 1325 N Race St, Glasgow, KY 42141-3427 | 2020-03-28 |
| 1780212662 | Melissa Flor Cowgill | Student in an Organized Health Care Education/Training Program | 1325 N Race St, Glasgow, KY 42141-3427 | 2020-03-27 |
| 1811459720 | Benjamin James Harris Kober | Student in an Organized Health Care Education/Training Program | 1325 N Race St, Glasgow, KY 42141-3427 | 2019-04-01 |
| 1720540768 | Sharon Dolorann Lee Hampton | Student in an Organized Health Care Education/Training Program | 1325 N Race St, Glasgow, KY 42141-3427 | 2019-04-01 |
| 1528529385 | Monica Juliana Chamorro | Student in an Organized Health Care Education/Training Program | 1325 N Race St, Glasgow, KY 42141-3427 | 2019-03-26 |
| 1114414273 | Laura Inabnitt | Student in an Organized Health Care Education/Training Program | 1325 N Race St, Glasgow, KY 42141-3427 | 2018-04-15 |
| 1356848923 | Lauren Hazel Hansen | Student in an Organized Health Care Education/Training Program | 1325 N Race St, Glasgow, KY 42141-3427 | 2018-04-10 |
| 1174047245 | Kartik Katragadda | Student in an Organized Health Care Education/Training Program | 1325 N Race St, Glasgow, KY 42141 | 2017-08-01 |
| Find all providers in GLASGOW | ||||
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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.