KRYSTAL M MEDLEY (NPI# 1336573641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336573641 |
| Entity Type | Individual |
| Full Name | KRYSTAL M MEDLEY |
| Credential | APRN |
| Practice Address |
1325 Triplett St Owensboro KY 42303-3163 |
| Practice Telephone | 2706884325 |
| Practice Fax Number | 2706874322 |
| Mailing Telephone | 2706884325 |
| Mailing Fax Number | 2706874322 |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2014-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3008181 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3008181 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100261310 | 05 | |
| IN | 201204360 | 05 |
| Street Address |
1325 TRIPLETT ST |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-3163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486021 | Randy L. Wolfe | Internal Medicine | 1325 Triplett St, Owensboro, KY 42303-3163 | 2005-06-02 |
| 1861927048 | Ashley N Emmick | Nurse Practitioner | 1325 Triplett St, Owensboro, KY 42303-3163 | 2017-04-26 |
| 1023478310 | Calla M Hass | Nurse Practitioner | 1325 Triplett St, # A, Owensboro, KY 42303-3163 | 2016-02-29 |
| 1669845764 | Kathy A Thiesse | Nurse Practitioner | 1325 Triplett St, Owensboro, KY 42303-3163 | 2015-11-11 |
| 1881879542 | Owensboro Family Medicine, Psc | Nurse Practitioner | 1325 Triplett St, Owensboro, KY 42303-3163 | 2007-12-31 |
| 1043439193 | Randy L Wolfe, Md | Internal Medicine | 1325 Triplett St, Owensboro, KY 42303-3163 | 2007-04-25 |
| 1376631770 | Ronald Eugene Taylor | Family Medicine | 1325 Triplett St, Owensboro, KY 42303-3163 | 2006-10-11 |
| 1902905987 | Owensboro Family Medicine Psc | Family Medicine | 1325 Triplett St, Owensboro, KY 42303 | 2006-09-22 |
| 1215993209 | Jeffrey S Danetz | Surgery | 1325 Triplett St, Owensboro, KY 42303-3163 | 2006-04-26 |
| 1811997166 | Bill J Bryant | Family Medicine | 1325 Triplett St, Owensboro, KY 42303-3163 | 2005-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| 1043561640 | Allergy and Asthma Specialists, Psc | Nurse Practitioner | 3604 Wathens Xing, Owensboro, KY 42301-7035 | 2012-09-24 |
| 1114252491 | Green River District Health Department | Nurse Practitioner | 1601 Hathaway, Owensboro, KY 42303 | 2009-10-05 |
| 1710180393 | Lisa M Vaught | Nurse Practitioner | 1325 Triplett Street, Owensboro, KY 42303-3163 | 2007-06-09 |
| 1124245220 | Angela K. Flener | Nurse Practitioner | 1301 Pleasant Valley Rd Ste 404, Owensboro, KY 42303 | 2007-04-19 |
| 1982747531 | Ohio Valley Medical Center | Nurse Practitioner | 750 Salem Dr Ste 1a, Owensboro, KY 42303-7758 | 2007-02-14 |
| 1346217395 | Albert F Ward | Nurse Practitioner | 3600 Frederica St, Suite A & B, Owensboro, KY 42301 | 2006-03-08 |
| 1003892977 | Hospice & Palliative Care of The Ohio Valley, Inc | Nurse Practitioner | 3419 Wathens Xing, Owensboro, KY 42301-7009 | 2005-12-21 |
| 1649251349 | Judy Ann Carrico | Nurse Practitioner | 2811 New Hartford Road, Suite B, Owensboro, KY 42303-1320 | 2005-11-09 |
| Find all providers in OWENSBORO | ||||
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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.