NKY MED, LLC (NPI# 1962847475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962847475 |
| Entity Type | Organization |
| Organization Name | NKY MED, LLC |
| Practice Address |
1717 Madison Ave Covington KY 41011-3330 |
| Practice Telephone | 8596133722 |
| Mailing Telephone | 8596133722 |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |
| Authorized Official Name | MR. GARY DAVID GAVORNIK (DIRECTOR OF DEVELOPMENT) |
| Authorized Official Telephone | 9086190346 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
KY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649681099 | Nky Med, LLC | Clinic/Center | 1717 Madison Ave, Covington, KY 41011-3330 | 2014-05-19 |
| Street Address |
1717 MADISON AVE |
| City | COVINGTON |
| State | KY |
| Zip Code | 41011-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038295 | Karissa Mueller | Counselor | 1717 Madison Ave, Covington, KY 41011-3330 | 2020-09-23 |
| 1205459120 | Chris Brown | Counselor | 1717 Madison Ave, Covington, KY 41011-3330 | 2020-05-27 |
| 1215559307 | Dominique Greene-coleman | Counselor | 1717 Madison Ave, Covington, KY 41011-3330 | 2020-05-12 |
| 1730734609 | Lori Brinkman | Counselor | 1717 Madison Ave, Covington, KY 41011-3330 | 2019-08-07 |
| 1487207817 | Liza Purmort | Counselor | 1717 Madison Ave, Covington, KY 41011-3330 | 2019-07-24 |
| 1902459985 | Britney A Brown | Counselor | 1717 Madison Ave, Covington, KY 41011-3330 | 2019-07-19 |
| 1396306411 | Jessica Yvonne Allender | Counselor | 1717 Madison Ave, Covington, KY 41011-3330 | 2019-06-28 |
| 1811463938 | Terry Lee Rook Jr. | Counselor | 1717 Madison Ave, Covington, KY 41011-3330 | 2018-10-16 |
| 1538520747 | Pinnacle Treatment Centers Ky-i, LLC | Clinic/Center | 1717 Madison Ave, Covington, KY 41011-3330 | 2016-03-15 |
| 1649681099 | Nky Med, LLC | Clinic/Center | 1717 Madison Ave, Covington, KY 41011-3330 | 2014-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| 1629417183 | Mortenson Family Dental Center- Ft Wright Pllc | Dentist | 1983 Dixie Hwy, Ft Mitchell, KY 41011 | 2013-06-18 |
| 1609150325 | Amanda Banks Galer | Social Worker | 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 | 2011-09-29 |
| 1750510004 | Marilyn Ruth Baker | Speech-Language Pathologist | 425 Garrad Street, Covington, KY 41011 | 2009-07-08 |
| 1093952327 | Douglas H Rank Md Psc | Psychiatry & Neurology | 12 West Pike St, Covington, KY 41011 | 2009-01-08 |
| 1376796722 | Bernice Raeann Calhoun | Counselor | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 | 2008-10-29 |
| 1609052265 | Marilyn Woods | Social Worker | 722 Scott Street, 3rd Floor, Covington, KY 41011 | 2008-01-14 |
| 1801089933 | Craig Louis Walsh | Dentist | 1846 Beacon Hill Ave, Fort Wright, KY 41011 | 2007-08-22 |
| Find all providers in zip 41011 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190118 | Metro Treatment of Kentucky, Lp | Clinic/Center | 1450 Madison Ave, Covington, KY 41011-3369 | 2017-08-16 |
| 1649681099 | Nky Med, LLC | Clinic/Center | 1717 Madison Ave, Covington, KY 41011-3330 | 2014-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730691189 | Maysville Medical, LLC | Clinic/Center | 152 E 2nd St, Maysville, KY 41056-1264 | 2017-10-25 |
| 1053823492 | Carroll Counseling, LLC | Clinic/Center | 539a 11th St, Carrollton, KY 41008-1463 | 2017-10-25 |
| 1720590177 | Simpson Treatment, LLC | Clinic/Center | 2714 Nashville Rd, Franklin, KY 42134-7845 | 2017-10-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1871027854 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1402a Browns Ln, Louisville, KY 40207-4609 | 2017-04-17 |
| 1083148076 | Etown Addiction Solutions, LLC | Clinic/Center | 2645 Leitchfield Rd Ste 104, Elizabethtown, KY 42701-8306 | 2017-04-17 |
| 1669905857 | Daviess Treatment Services LLC | Clinic/Center | 3032 Us Highway 60 E, Owensboro, KY 42303-0288 | 2017-04-05 |
| 1063824381 | Georgetown Medical, LLC | Clinic/Center | 105 Eastside Dr, Suites A, B, and C, Georgetown, KY 40324-9797 | 2014-05-21 |
| 1619395605 | Western Ky Medical, LLC | Clinic/Center | 609 Hammond Plz, Hopkinsville, KY 42240-4971 | 2014-04-07 |
| 1578986345 | Bhg Xxxiv, LLC | Clinic/Center | 967 S. Highway 25 W, Corbin, KY 40701-4543 | 2014-01-29 |
| Find all providers with the same taxonomy | ||||
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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.