KACI RAE MEDLEY


Address: 2501 Kentucky Ave, Paducah, KY 42003-3813
Phone: 2705752100

KACI RAE MEDLEY (NPI# 1821624339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821624339
Entity Type Individual
Full Name KACI RAE MEDLEY
Credential APRN
Practice Address 2501 Kentucky Ave
Paducah
KY 42003-3813
Mailing Address 423 Dunnigan Ln
Benton
KY 42025-6956
Practice Telephone 2705752100
Enumeration Date 2020-03-16
Last Update Date 2020-03-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 1147322 KY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2501 KENTUCKY AVE
City PADUCAH
State KY
Zip Code 42003-3813

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043213820 Robert Timothy Mabry Emergency Medicine 2501 Kentucky Ave, Paducah, KY 42003-3813 2005-05-24
1700485794 Heather Sutton Nurse Practitioner 2501 Kentucky Ave, Paducah, KY 42003-3813 2020-10-20
1881291250 Aaron Douglas Garrett Nurse Practitioner 2501 Kentucky Ave, Paducah, KY 42003-3813 2020-10-07
1265044044 William Kory Oliver Nurse Anesthetist, Certified Registered 2501 Kentucky Ave, Paducah, KY 42003-3813 2020-08-21
1720699010 Bobbie Lee Smith Nurse Practitioner 2501 Kentucky Ave, Paducah, KY 42003-3813 2020-08-11
1245854355 Whitley Jo Swift Nurse Practitioner 2501 Kentucky Ave, Paducah, KY 42003-3813 2020-06-04
1093355448 Peyton Diane Englert Nurse Anesthetist, Certified Registered 2501 Kentucky Ave, Paducah, KY 42003-3813 2020-01-14
1720624356 Jessica Gonzales Family Medicine 2501 Kentucky Ave, Paducah, KY 42003-3813 2019-11-19
1457904526 Tanya Christine Cobb Nurse Practitioner 2501 Kentucky Ave, Paducah, KY 42003-3813 2019-07-18
1306309083 Jamie Pepi Shelstad Physician Assistant 2501 Kentucky Ave, Paducah, KY 42003-3813 2019-04-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033757638 Wilson Medical Staffing Pllc Nurse Practitioner 3130 Lone Oak Rd, Paducah, KY 42003 2019-12-13
1417415993 Lauren Deanne Mcclain Nurse Practitioner 225 Medical Center Dr Ste 205, Paducah, KY 42003 2019-03-04
1871057042 Brame Psychological Assessment Center Psychologist Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 2019-01-22
1831611219 Elizabeth Anne Wright Social Worker 425 Broadway Street, Paducah, KY 42003 2017-07-07
1558804724 Kayla Reshea Franklin Behavior Technician 2075 Husband Road, Paducah, KY 42003 2016-11-21
1699189308 Sunrise Children's Services, Inc. Foster Care Agency 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 2014-06-20
1326488891 Alice Ann Higdon Wilham Surgery 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 2013-06-28
1881924611 Meghan Ashley Lee Nurse Practitioner 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 2009-12-29
1174771018 Sleep Source Kentucky, LLC Clinic/Center 3125 Parisa Drive, Paducah, KY 42003 2008-09-04
1851547426 Zandra Bristol Farley Registered Nurse 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 2008-08-14
Find all providers in zip 42003

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033757638 Wilson Medical Staffing Pllc Nurse Practitioner 3130 Lone Oak Rd, Paducah, KY 42003 2019-12-13
1619512613 Kandice Renee Skabo Nurse Practitioner 2501 Kentucky Ave Fl 6, Paducah, KY 42003-3813 2019-11-13
1417415993 Lauren Deanne Mcclain Nurse Practitioner 225 Medical Center Dr Ste 205, Paducah, KY 42003 2019-03-04
1740765957 Kidney Specialists of Paducah Nurse Practitioner 1532 Lone Oak Rd Ste 315, Paducah, KY 42003-7942 2018-10-03
1366811796 Sharon Hodges Nurse Practitioner 2911 Lone Oak Rd, Paducah, KY 42003-8030 2015-09-16
1881924611 Meghan Ashley Lee Nurse Practitioner 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 2009-12-29
1174859409 Millicent Gay Kadner Nurse Practitioner 1532 Lone Oak Rd Ste 320, Paducah, KY 42003-7942 2009-10-21
1417128083 Meredith J Etheridge Nurse Practitioner 225 Medical Center Dr., Suite 201, Paducah, KY 42003 2008-03-21
1497892103 Paducah Primary Care, P.s.c. Nurse Practitioner 4620 Village Square Dr, Paducah, KY 42001-7501 2007-01-31
1356425789 Brenda Carolyn Cooper Nurse Practitioner 1101 Jefferson St, Paducah, KY 42001-1835 2006-10-24
Find all providers in PADUCAH

Competitor

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City PADUCAH
Zip Code 42003

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Dataset Information

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.

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