SLEEP SOURCE KENTUCKY, LLC (NPI# 1174771018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174771018 |
| Entity Type | Organization |
| Organization Name | SLEEP SOURCE KENTUCKY, LLC |
| Other Organization Name | KENTUCKY SLEEP CENTER |
| Practice Address |
3125 Parisa Drive Paducah KY 42003 |
| Mailing Address |
105 Nolan Ave Fulton KY 42041-8220 |
| Practice Telephone | 2705750080 |
| Practice Fax Number | 2705750081 |
| Mailing Telephone | 2705750080 |
| Mailing Fax Number | 2705750081 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2009-05-19 |
| Authorized Official Name | MR. MARK SEXTON (CO-OWNER) |
| Authorized Official Telephone | 2705750080 |
| Authorized Official Credential | RRT, RPSGT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kentucky Sleep Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720232796 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Dr, Paducah, KY 42003-4584 | 2008-11-04 |
| 1295883718 | Sleep Source Kentucky, LLC | Specialist | 100 N 6th St, Murray, KY 42071-2000 | 2007-01-08 |
| Street Address |
3125 PARISA DRIVE |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003 |
| 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 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| 1689838260 | Greg M Adler | Physical Therapist | 221 Wellsley Way, Paducah, KY 42003 | 2008-07-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720232796 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Dr, Paducah, KY 42003-4584 | 2008-11-04 |
| 1265442768 | Sleep Source Inc | Clinic/Center | 3121 Parisa Dr, Paducah, KY 42003-4584 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225448731 | Home Sleep Diagnostics, LLC | Clinic/Center | 336 Village Pkwy, Nicholasville, KY 40356-2535 | 2014-05-06 |
| 1255676094 | Mag Medical | Clinic/Center | 30 Old Mill Ridge Hl, Bonnyman, KY 41719-8841 | 2012-12-05 |
| 1801162672 | Superior Home Sleep Testing | Clinic/Center | 356 Highway 233, Gray, KY 40734-4504 | 2012-03-27 |
| 1891069845 | Brian Scott Coleman | Clinic/Center | 4460 Stuart Hall Blvd, Lexington, KY 40509-4504 | 2012-03-07 |
| 1558660944 | Sleep Diagnostics of Kentucky, Inc | Clinic/Center | 606a Knox Street, Barbourville, KY 40906 | 2011-03-24 |
| 1619292034 | Home Sleep Studies of Kentucky LLC | Clinic/Center | 912 Sasser School Rd, London, KY 40744-8486 | 2010-03-29 |
| 1174773667 | Dx2go | Clinic/Center | 301 W Stephen Foster Ave, Bardstown, KY 40004-1493 | 2008-09-22 |
| 1336306737 | Ray A Huff | Clinic/Center | 204 Bevins Ln, Suite C, Georgetown, KY 40324-6139 | 2008-05-22 |
| 1831384072 | Diagnostic Sleep Center | Clinic/Center | 59 Greer Ln, Corbin, KY 40701-2300 | 2007-09-11 |
| 1346389533 | Covington Operating Company LLC | Clinic/Center | 320 Thomas More Parkway, Suite 201, Crestview Hills, KY 41017-3456 | 2007-02-05 |
| 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.