MOREHEAD STATE UNIVERSITY (NPI# 1689954232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689954232 |
| Entity Type | Organization |
| Organization Name | MOREHEAD STATE UNIVERSITY |
| Other Organization Name | MOREHEAD STATE UNIVERSITY COUNSEL & HEALTH SERVICES |
| Practice Address |
112 Allie Young Hall Morehead KY 40351-1684 |
| Practice Telephone | 6067832885 |
| Practice Fax Number | 6067839106 |
| Mailing Telephone | 6067832885 |
| Mailing Fax Number | 6067839106 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2017-03-31 |
| Authorized Official Name | MRS. SHANNON SMITH STEPHENS (DIRECTOR) |
| Authorized Official Telephone | 6067832123 |
| Authorized Official Credential | DNP, APRN |
| Is Organization Subpart | Y |
| Parent Organization Name | MOREHEAD STATE UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 0668 | KY | Behavioral Health & Social Service Providers |
| N | 207Q00000X | Family Medicine | 03203 | KY | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | 3796P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3002104 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
KY | Behavioral Health & Social Service Providers | |
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 363L00000X | Nurse Practitioner | 3004857 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100034230 | 05 | |
| ANTHEM BCBS | 000000231892 | 01 | |
| KY | 30610026 | 05 | |
| KY | 7100092610 | 05 | |
| KY | ANTHEM BCBS | 000000609845 | 01 |
| OH | 2826311 | 05 | |
| OH | 2973242 | 05 | |
| KY | ANTHEM BCBS | 000000623843 | 01 |
| KY | 78010220 | 05 | |
| KY | RR MEDICARE | P00754288 | 01 |
| KY | ANTHEM BCBS | 000000298213 | 01 |
| KY | MEDICARE GROUP | K021100 | 01 |
| Other Name | Type Code |
|---|---|
| Morehead State University Counsel & Health Services | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOREHEAD STATE UNIVERSITY | 207 Howell Mcdowell, Morehead, KY 40351 |
| Street Address |
112 ALLIE YOUNG HALL |
| City | MOREHEAD |
| State | KY |
| Zip Code | 40351-1684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013204502 | Velma Lee Campbell | Psychologist | 112 Allie Young Hall, Msu Caudill Health Clinic, Morehead, KY 40351-1179 | 2011-07-05 |
| 1063036119 | St Claire Medical Center Inc. | Family Medicine | 112 Allie Young Hall, Morehead, KY 40351-1684 | 2020-06-04 |
| 1700329877 | Charla Burchett | Nurse Practitioner | 112 Allie Young Hall, Morehead, KY 40351-1684 | 2016-11-22 |
| 1952642852 | Masami Matsuyuki | Psychologist | 112 Allie Young Hall, Morehead, KY 40351 | 2013-03-04 |
| 1497014906 | Ashley Spencer | Counselor | 112 Allie Young Hall, Morehead, KY 40351-1684 | 2012-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881267 | Ready Lab LLC | Clinical Medical Laboratory | 2575 Ky Hwy 801 North, Suite B, Morehead, KY 40351 | 2020-11-02 |
| 1235765082 | Debbie Lynn Hudson | Behavior Technician | The Kidspot Center, 12008 W Us 60, Olive Hill, KY 40351 | 2020-03-12 |
| 1578020210 | The Family Healing Center, Inc | Clinic/Center | 241 East Main Street, Morehead, KY 40351 | 2019-03-01 |
| 1407312184 | Kyle Charles Wolff | Specialist/Technologist | 111 Playforth Place, Morehead, KY 40351 | 2019-02-18 |
| 1184195992 | Alyssa Davis | Emergency Medicine | 111 Academic-athletic Center, Morehead, KY 40351 | 2018-12-06 |
| 1891262325 | Garla Kathleen Hart | Social Worker | 500 Hecks Plaza, Morehead, KY 40351 | 2018-11-02 |
| 1508365230 | Alyson Ewigman | Specialist/Technologist | 195 Academic-athletic Center, Morehead, KY 40351 | 2018-02-08 |
| 1417490764 | Jordan Kelley | Specialist/Technologist | 195 Academic Athletic Center, Morehead, KY 40351 | 2016-11-18 |
| 1275903924 | Terri Dickerson | Counselor | 505 Hecks Plaza, Morehead, KY 40351 | 2015-10-06 |
| 1013313162 | Mt Sterling Pediatrics | Family Medicine | 130 New Towne Square, Morehead, KY 40351 | 2014-11-17 |
| Find all providers in zip 40351 | ||||
| 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 |
|---|---|---|---|---|
| 1548707821 | Kayla Crawford | Nurse Practitioner | 6485 Lower Licking Rd, Morehead, KY 40351-8022 | 2017-01-25 |
| 1861796377 | Frances A Meritt | Nurse Practitioner | Uk Morehead Women's Healthcare, 555 W Sun St, Morehead, KY 40351-1563 | 2010-12-28 |
| 1518143635 | Linda Hope Smith-dike | Nurse Practitioner | 316 W Second St, Morehead, KY 40351-1179 | 2008-01-18 |
| 1750334975 | Michele A Walters | Nurse Practitioner | 1028 E Main St, St. Claire Family Medicine Express, Morehead, KY 40351-1328 | 2006-05-18 |
| 1891780193 | Teri Lyn Roberts | Nurse Practitioner | 234 Medical Cir Ste 1, Morehead, KY 40351-1194 | 2005-09-13 |
| 1720070048 | Wynetta J Fletcher | Nurse Practitioner | 535 Eagle Dr, Morehead, KY 40351-8097 | 2005-08-22 |
| 1962024257 | Amanda Jane Hall | Nurse Practitioner | 245 Flemingsburg Rd, Morehead, KY 40351-1015 | 2020-05-11 |
| 1598397036 | Danielle L Owens | Nurse Practitioner | 222 Medical Cir, Morehead, KY 40351-1179 | 2020-02-12 |
| 1144789678 | Levita J Larson | Nurse Practitioner | 333 Beacon Hill Rd Ste 201, Morehead, KY 40351-6182 | 2019-03-14 |
| 1558863167 | Tabitha Rena Sims | Nurse Practitioner | 716 W Main St, Morehead, KY 40351-1444 | 2018-02-28 |
| Find all providers in MOREHEAD | ||||
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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.