CHARLSIE DELOACH (NPI# 1578173795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578173795 |
| Entity Type | Individual |
| Full Name | CHARLSIE DELOACH |
| Credential | FNP-CB |
| Practice Address |
1717 High St Ste 1a Hopkinsville KY 42240-6300 |
| Mailing Address |
370 Hampshire Ct Clarksville TN 37043 |
| Practice Telephone | 2708870570 |
| Mailing Telephone | 9319808778 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3014867 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
27927 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1717 HIGH ST STE 1A |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790870194 | Audrey Kay Allen | Nurse Practitioner | 1717 High St Ste 1a, Hopkinsville, KY 42240-6300 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710508395 | Ashley Brooke Gibson | Nurse Practitioner | 750 Frank Yost Ln, Hopkinsville, KY 42240-6820 | 2020-05-05 |
| 1194292649 | Melinda Long | Nurse Practitioner | 10755 Eagle Way Ste 100, Hopkinsville, KY 42240-8742 | 2018-11-01 |
| 1972909570 | Camille Jordan | Nurse Practitioner | 422 Irish Cir, Hopkinsville, KY 42240-3869 | 2014-11-08 |
| 1194125245 | Ashley Dossett | Nurse Practitioner | 1717 High St Ste 2b, Hopkinsville, KY 42240-6300 | 2014-08-26 |
| 1285241935 | Holly N Kirtley | Nurse Practitioner | 2955 Fort Campbell Blvd, Hopkinsville, KY 42240-4901 | 2020-09-28 |
| 1851903405 | Gabrielle Harris | Nurse Practitioner | 2955 Fort Campbell Blvd, Hopkinsville, KY 42240-4901 | 2020-08-17 |
| 1790396828 | Mary Lee | Nurse Practitioner | 1739 Canton St, Hopkinsville, KY 42240-1991 | 2020-08-12 |
| 1316556780 | Sara Allen | Nurse Practitioner | 2955 Fort Campbell Blvd, Hopkinsville, KY 42240-4901 | 2020-07-30 |
| 1598309908 | Brittany Whyte | Nurse Practitioner | 222 W 18th St, Hopkinsville, KY 42240-1963 | 2019-10-30 |
| 1184289407 | Danielle Jalisa Kinzer | Nurse Practitioner | 1739 Canton St, Hopkinsville, KY 42240-1991 | 2019-05-02 |
| Find all providers in HOPKINSVILLE | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
Please comment or provide details below to improve the information on CHARLSIE DELOACH.
| 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.