LORIE RASHELLE WYDOTIS (NPI# 1457731770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457731770 |
| Entity Type | Individual |
| Full Name | LORIE RASHELLE WYDOTIS |
| Credential | APRN, FNP-C |
| Practice Address |
520 W Gum St Marion KY 42064-1516 |
| Mailing Address |
Po Box 386 Marion KY 42064-0386 |
| Practice Telephone | 2709655281 |
| Practice Fax Number | 2709651032 |
| Mailing Telephone | 2709655281 |
| Mailing Fax Number | 2709651032 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1083029 | KY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3009572 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
520 W GUM ST |
| City | MARION |
| State | KY |
| Zip Code | 42064-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376536870 | Robert Joseph Jones | Physician Assistant | 520 W Gum St, Marion, KY 42064-1516 | 2005-08-30 |
| 1275097339 | Crittenden Community Hospital LLC | Internal Medicine | 520 W Gum St, Marion, KY 42064-1516 | 2019-01-23 |
| 1184188245 | Crittenden Community Hospital LLC | Home Health | 520 W Gum St, Marion, KY 42064-1516 | 2019-01-23 |
| 1902360175 | Crittenden Community Hospital LLC | Medicare Defined Swing Bed Unit | 520 W Gum St, Marion, KY 42064-1516 | 2019-01-22 |
| 1053885392 | Crittenden Community Hospital LLC | General Acute Care Hospital | 520 W Gum St, Marion, KY 42064-1516 | 2019-01-21 |
| 1386132165 | Com-care, Inc | Ambulance | 520 W Gum St, Marion, KY 42064-1516 | 2018-04-26 |
| 1679871677 | Crittenden Health Systems | General Acute Care Hospital | 520 W Gum St, Marion, KY 42064-1516 | 2011-03-01 |
| 1033380613 | Crittenden County Hospital | Physician Assistant | 520 W Gum St, Marion, KY 42064-1516 | 2008-03-21 |
| 1417071291 | Crittenden County Hospital | Home Health | 520 W Gum St, Marion, KY 42064-0386 | 2007-03-19 |
| 1831213651 | Crittenden County Hospital | Medicare Defined Swing Bed Unit | 520 W Gum St, Marion, KY 42064-1516 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154840924 | Tashena Elizabeth Hill | Pharmacist | 520 West Gum St., Marion, KY 42064 | 2017-09-13 |
| 1629318365 | Christopher Scott Wynn | Chiropractor | 107 Morningside Dr Ste 4, Marion, KY 42064 | 2013-02-17 |
| 1184747636 | John Jason Newcom | Chiropractor | 913 South Main Street, Marion, KY 42064 | 2007-04-09 |
| 1578684247 | Melissa Gayle Myers | Case Manager/Care Coordinator | 6654 State Road 1668, Marion, KY 42064 | 2007-04-02 |
| 1629195185 | Pennyrile District Health Department | Public Health or Welfare | 190 Industrial Dr., Marion, KY 42064 | 2007-03-22 |
| 1285747915 | Steve Evert Crider | Dentist | 913 B South Main Street, Marion, KY 42064 | 2006-08-16 |
| 1194726752 | Starkey Family Practice | Chiropractor | 789 Chapel Hill Road, Marion, KY 42064 | 2005-08-04 |
| 1659601755 | Graves County Health Department | Public Health or Welfare | 416 Central Avenue, Mayfield, KY 42064 | 2010-01-12 |
| 1841462223 | Crittenden County Hospital | Home Health | 520 West Gum St, Marion, KY 42064-0386 | 2008-03-26 |
| 1801069588 | Crittenden County Hospital | Podiatrist | 520 West Gum St, Marion, KY 42064-0386 | 2008-04-02 |
| Find all providers in zip 42064 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391977 | Pamela Jane Clarida | Nurse Practitioner | 1001 E Illinois St, Marion, IL 62959-3711 | 2020-09-22 |
| 1194330845 | Jamie Jones Hayden | Nurse Practitioner | 134 Willow Springs Rd, Marion, VA 24354-6700 | 2020-09-10 |
| 1992331714 | Andrea Williams | Nurse Practitioner | 55 Mckenzie Cv, Marion, AR 72364-2661 | 2020-03-13 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1902466220 | Aimee Wiggins Martin | Nurse Practitioner | 1649 W Highway 76, Marion, SC 29571-6621 | 2019-06-18 |
| 1801358163 | William Wayne Thomas II | Nurse Practitioner | 2808 Outer Dr, Marion, IL 62959-5207 | 2019-04-04 |
| 1033670062 | Era Louise Mattingly | Nurse Practitioner | 11522 White Pine Ave, Marion, IL 62959-8379 | 2019-03-31 |
| 1598223414 | Jeanni A. Gerwin | Nurse Practitioner | 1125 Ellen Kay Dr Ste A, Marion, OH 43302-6358 | 2019-03-10 |
| 1619431780 | Lisa Dawn Powell | Nurse Practitioner | 2921 Hwy 77 S Ste 12-13, Marion, AR 72364-2367 | 2019-01-23 |
| 1285110551 | Marcie Ann Ellington | Nurse Practitioner | 518 W Gum St, Marion, KY 42064-1516 | 2018-07-19 |
| Find all providers in MARION | ||||
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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.