MS. SALLY R. MCENROE (NPI# 1932190212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932190212 |
| Entity Type | Individual |
| Full Name | MS. SALLY R. MCENROE |
| Credential | ARNP |
| Practice Address |
101 Hardin Ln Somerset KY 42503-3814 |
| Mailing Address |
510 Leaf Ln Somerset KY 42503-4662 |
| Practice Telephone | 6066797348 |
| Practice Fax Number | 6066794097 |
| Mailing Telephone | 6066794997 |
| Mailing Fax Number | 6066795976 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
235P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78001484 | 05 |
| Street Address |
101 HARDIN LN |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346662368 | Christina Case | Case Manager/Care Coordinator | 101 Hardin Ln, Somerset, KY 42503-3814 | 2014-01-10 |
| 1992127963 | April Starns | Case Manager/Care Coordinator | 101 Hardin Ln, Somerset, KY 42503-3814 | 2014-01-10 |
| 1376842989 | Sherry A Vaught | Social Worker | 101 Hardin Ln, Somerset, KY 42503-3814 | 2011-03-22 |
| 1851696777 | Sandra Williams | Counselor | 101 Hardin Ln, Somerset, KY 42503-3814 | 2011-01-25 |
| 1972839314 | Gladys Kissee | Counselor | 101 Hardin Ln, Somerset, KY 42503-3814 | 2009-10-20 |
| 1588852255 | Penny Melgoza | Counselor | 101 Hardin Ln, Somerset, KY 42503-3814 | 2007-10-09 |
| 1992721773 | Kathy Tillery | Social Worker | 101 Hardin Ln, Somerset, KY 42503-3814 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| 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 |
|---|---|---|---|---|
| 1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
| 1851814529 | Heena M Patel | Nurse Practitioner | 19b Dellwood Ln, Somerset, NJ 08873-1551 | 2017-07-24 |
| 1336559533 | Blessing Rosemary Nwele | Nurse Practitioner | 20 Sunflower Rd, Somerset, NJ 08873-7153 | 2014-04-28 |
| 1689752016 | Maryanne Minischetti | Nurse Practitioner | 270 Davidson Ave, Somerset, NJ 08873-4140 | 2006-11-02 |
| 1003477381 | Patricia Davis Cunningham | Nurse Practitioner | 130 Southern School Rd, Somerset, KY 42501 | 2019-06-26 |
| 1083278949 | Spisobod Connection | Nurse Practitioner | 270 Davidson Ave, Somerset, NJ 08873-4140 | 2019-04-25 |
| 1508341959 | Andrea S Gifford | Nurse Practitioner | 200 Belmont Ave, Somerset, KY 42501 | 2018-10-02 |
| 1538561618 | Carol Price | Nurse Practitioner | 104 Hardin Ln, Somerset, KY 42503-3800 | 2014-09-21 |
| 1003251612 | Angela Jo Cain | Nurse Practitioner | 200 Belmont Ave, Somerset, KY 42501 | 2013-05-09 |
| 1801189261 | Lenora Frances Debord | Nurse Practitioner | 259 Parkers Mill Rd, Somerset, KY 42501-3152 | 2011-05-18 |
| Find all providers in SOMERSET | ||||
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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.