KYONGMI ANDRE (NPI# 1205386026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205386026 |
| Entity Type | Individual |
| Full Name | KYONGMI ANDRE |
| Credential | RN |
| Practice Address |
518 N 4th St Flatwoods KY 41139-1086 |
| Practice Telephone | 6066946840 |
| Mailing Telephone | 6066946840 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WA2000X |
Registered Nurse Specialization: Administrator |
86666 | WV | Nursing Service Providers |
| N | 163WC1600X |
Registered Nurse Specialization: Continuing Education/Staff Development |
86666 | WV | Nursing Service Providers |
| N | 163WC3500X |
Registered Nurse Specialization: Cardiac Rehabilitation |
86666 | WV | Nursing Service Providers |
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
86666 | WV | Nursing Service Providers |
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
86666 | WV | Nursing Service Providers |
| Street Address |
518 N 4TH ST |
| City | FLATWOODS |
| State | KY |
| Zip Code | 41139-1086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386282903 | Kristy Lynn Bell | Occupational Therapy Assistant | 2414 Todd Street Flatwoods, Flatwoods, KY 41139 | 2019-12-13 |
| 1558911461 | Lisa Ann Estep | Technician | 1216 Wheeler Street, Flatwoods, KY 41139 | 2019-09-13 |
| 1679600944 | Robert Linton Wagner | Dentist | 1402 Argillite Road, Flatwoods, KY 41139 | 2007-02-27 |
| 1487758553 | Ronald E Lewis Dmd Psc | Dentist | 909 Powell Lane, Flatwoods, KY 41139 | 2006-09-11 |
| 1790717916 | Augustinus J Lobach | Family Medicine | 2420 Argillite Road Suite B, Flatwoods, KY 41139 | 2006-07-07 |
| 1659307585 | Our Lady of Bellefonte Hospital | Family Medicine | 2420 Argillite Road, Suite B, Flatwoods, KY 41139 | 2006-06-23 |
| 1851380455 | Oakmont LLC | Skilled Nursing Facility | 1100 Grandview Dr, Flatwoods, KY 41139-1024 | 2005-10-17 |
| 1114572617 | Megan Redmond | Physical Therapist | 1100 Grandview Dr, Flatwoods, KY 41139-1024 | 2019-08-02 |
| 1619521606 | Karri Berlin | Nurse Practitioner | 1100 Grandview Dr, Flatwoods, KY 41139-1024 | 2019-07-28 |
| 1386168847 | Brent Caleb Jackson | Occupational Therapy Assistant | 1100 Grandview Dr, Flatwoods, KY 41139-1024 | 2017-07-26 |
| Find all providers in zip 41139 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930756 | Samantha Chestnut | Registered Nurse | 10301 Thrift Dr Apt 103, Louisville, KY 40223-0096 | 2020-10-26 |
| 1114537537 | Casey Lynn Mattingly | Registered Nurse | 204 Kelly St, Paris, KY 40361-1516 | 2020-08-01 |
| 1639791908 | Lauren Read | Registered Nurse | 124 Poteet Ct, Bowling Green, KY 42104-6455 | 2020-05-10 |
| 1821626441 | Stephanie Priest | Registered Nurse | 845 Delaney Ferry Rd, Versailles, KY 40383-9505 | 2020-03-30 |
| 1558999540 | Suzanne Michelle Laird-attum | Registered Nurse | 5300 Southern Pkwy, Louisville, KY 40214-1326 | 2020-03-27 |
| 1902395528 | Whitney Nacole Rowe | Registered Nurse | Kings Daughters Medical Center Greenup Primary Care, 1629 Ashland Rd, Greenup, KY 41144 | 2018-05-09 |
| 1730688979 | Renee Anastasia Miller | Registered Nurse | 1151 W 9th St, Russellville, KY 42276-9760 | 2018-02-02 |
| 1750751327 | Jeffrey Lyons | Registered Nurse | 390 Stallworth Ct, Elsmere, KY 41018-1959 | 2015-09-25 |
| 1609124577 | Paula Marie Sherman | Registered Nurse | 1205 Winter Springs Ct, Unit 103, Louisville, KY 40243-2914 | 2012-08-26 |
| 1700191228 | Lee Ann Grainger Keller | Registered Nurse | 1860 J H O'bryan Ave, Grand Rivers, KY 42045 | 2010-08-09 |
| 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.