ONYX REGENT HEALTH & WELLNESS, LLC (NPI# 1720616212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720616212 |
| Entity Type | Organization |
| Organization Name | ONYX REGENT HEALTH & WELLNESS, LLC |
| Practice Address |
2459 Mount Victor Ln Bowling Green KY 42103-9061 |
| Practice Telephone | 2709355234 |
| Practice Fax Number | 2709355173 |
| Mailing Telephone | 2709355234 |
| Mailing Fax Number | 2709355173 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Authorized Official Name | JOY DENISE CORNELIUS (OWNER) |
| Authorized Official Telephone | 2707799408 |
| Authorized Official Credential | PMHNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2459 MOUNT VICTOR LN |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-9061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942283635 | Joy Denise Cornelius | Nurse Practitioner | 2459 Mount Victor Ln, Bowling Green, KY 42103-9061 | 2005-11-28 |
| 1811549413 | Alicia Velma Karam | Nurse Practitioner | 2459 Mount Victor Ln, Bowling Green, KY 42103-9061 | 2019-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099269 | Bowling Green Psychiatry | Nurse Practitioner | 1911 Scottsville Rd Ste B, Bowling Green, KY 42104-3303 | 2020-10-08 |
| 1851951818 | John Paul Palmer | Nurse Practitioner | 1608 Glendale Dr, Bowling Green, KY 42104-3133 | 2019-06-20 |
| 1710375050 | Cheryl R Gore | Nurse Practitioner | 855 Lovers Ln Ste 106, Bowling Green, KY 42103-7989 | 2015-01-08 |
| 1427146950 | Cindy S Lemon | Nurse Practitioner | 1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 | 2006-10-10 |
| 1912545468 | Rachel Elizabeth Roberts | Nurse Practitioner | 1300 Andrea St Ste 205, Bowling Green, KY 42104-3382 | 2019-12-16 |
| 1457995839 | Johnna Marr | Nurse Practitioner | 1035 Porter Pike, Bowling Green, KY 42103-9581 | 2019-10-29 |
| 1811549413 | Alicia Velma Karam | Nurse Practitioner | 2459 Mount Victor Ln, Bowling Green, KY 42103-9061 | 2019-07-12 |
| 1679032981 | Gore Behavioral Care, LLC | Nurse Practitioner | 855 Lovers Ln Ste 106, Bowling Green, KY 42103-7989 | 2019-03-16 |
| 1801395967 | Mary Kimberly Green | Nurse Practitioner | 1035 Porter Pike, Bowling Green, KY 42103-9581 | 2018-02-05 |
| 1104358597 | Kentucky Psychiatry, LLC | Nurse Practitioner | 1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 | 2017-04-03 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
Please comment or provide details below to improve the information on ONYX REGENT HEALTH & WELLNESS, LLC.
| 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.