TRENA KISH (NPI# 1558531368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558531368 |
| Entity Type | Individual |
| Full Name | TRENA KISH |
| Credential | FNP |
| Practice Address |
515 Main St Madison WV 25130-1417 |
| Mailing Address |
97 Great Teays Blvd Ste 6 Scott Depot WV 25560-9816 |
| Practice Telephone | 3043690393 |
| Practice Fax Number | 3043690371 |
| Mailing Telephone | 3047576999 |
| Mailing Fax Number | 3042015019 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WS0200X |
Registered Nurse Specialization: School |
57283 | WV | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
104680 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 9702069000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 69 Avenue B, Madison, WV 251301162 | 3043693131 | 3043696789 |
| Street Address |
515 MAIN ST |
| City | MADISON |
| State | WV |
| Zip Code | 25130-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275063604 | Amber Louise Bell | Nurse Practitioner | 515 Main St, Madison, WV 25130-1417 | 2017-06-18 |
| 1205288842 | Cynthia Kelly | Social Worker | 515 Main St, Madison, WV 25130-1417 | 2016-07-07 |
| 1881079614 | Deborah L Townsley | Registered Nurse | 515 Main St, Madison, WV 25130-1417 | 2015-07-22 |
| 1760890412 | Lauren M Linville | Nurse Practitioner | 515 Main St, Madison, WV 25130-1417 | 2014-07-25 |
| 1801232277 | Sarah Jane Frazier | Pediatrics | 515 Main St, Madison, WV 25130-1417 | 2013-05-13 |
| 1740450089 | Womencare, Inc | Clinic/Center | 515 Main St, Madison, WV 25130-1417 | 2008-03-03 |
| 1770597171 | Ronald D Chattin | Family Medicine | 515 Main St, Madison, WV 25130 | 2006-07-28 |
| 1518925767 | Lonnie K Sipsy | Internal Medicine | 515 Main St, Madison, WV 25130-1417 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960957 | Sadie Vance | Technician | 1 Ave C, Madison, WV 25130 | 2020-07-30 |
| 1255940516 | Katie Adkins | Technician | 109 Ave C, Madison, WV 25130 | 2020-07-23 |
| 1386981488 | Integrated Health Care Providers, Inc. | Urology | 707 Madison Avenue, Madison, WV 25130 | 2013-01-09 |
| 1386710028 | Lisa Gaye Dolan | Registered Nurse | 69 Avenue B, Boone County of Educations, Madison, WV 25130 | 2006-11-27 |
| 1679671549 | Atkins Dds Inc | Dentist | 221 State Street, Suite 102, Madison, WV 25130 | 2006-09-21 |
| 1063446854 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 3265 Smoot Avenue, Madison, WV 25130 | 2006-07-10 |
| 1558318832 | Sriramloo Kesari | General Practice | 173 State St, Madison, WV 25130 | 2006-05-30 |
| 1689628489 | Kathy Jo Hill | Nurse Practitioner | 701 Madison Avenue, Boone Memorial Hospital, Madison, WV 25130 | 2006-05-19 |
| 1578513032 | Boone Memorial Hospital Inc | Clinic/Center | 697 Madison Avenue, Madison, WV 25130 | 2006-05-12 |
| 1770979874 | Michael Vaughn Baxter Bledsoe | Family Medicine | 701 Madison Ave, Madison, WV 25130 | 2015-04-15 |
| Find all providers in zip 25130 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424468 | Rachel Gallagher | Nurse Practitioner | 822 E Washington Ave, Madison, WI 53703-6500 | 2020-07-10 |
| 1932728177 | Cori Barkei | Nurse Practitioner | 3128 Limekiln St, Madison, WI 53719-2573 | 2020-04-08 |
| 1265075626 | Maria Rachuonyo | Nurse Practitioner | 165 Chestnut Dr, Madison, AL 35758-9524 | 2019-10-17 |
| 1548821333 | Sumner B Douglas | Nurse Practitioner | 401 Baptist Dr Ste 1040, Madison, MS 39110-2009 | 2019-06-24 |
| 1942865365 | Marta Cooper | Nurse Practitioner | 579 Donofrio Dr Ste 1, Madison, WI 53719-2838 | 2019-05-02 |
| 1215490024 | Angela Wiggins | Nurse Practitioner | 1210 Briarville Rd Bldg B, Madison, TN 37115-5136 | 2019-04-09 |
| 1124585419 | Melissa Kay Albright | Nurse Practitioner | 44 Hughes Rd Ste 2500, Madison, AL 35758-3026 | 2019-02-22 |
| 1912475393 | Katlynn Ann Kelley | Nurse Practitioner | 20 S Park St Rm M417, Madison, WI 53715-1348 | 2018-11-05 |
| 1053887943 | Denita Ward | Nurse Practitioner | 2145 Fox Ave, Madison, WI 53711-1920 | 2018-10-17 |
| 1992203079 | Brandy J Smith | Nurse Practitioner | 703 Green Rd Ste 1, Madison, IN 47250-2145 | 2018-01-24 |
| Find all providers in MADISON | ||||
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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.