MARY RUTH CARRELL (NPI# 1740403674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740403674 |
| Entity Type | Individual |
| Full Name | MARY RUTH CARRELL |
| Credential | APRN |
| Practice Address |
2605 Kentucky Ave Suite 301 Paducah KY 42003-3800 |
| Mailing Address |
2605 Kentucky Ave Suite 306 Paducah KY 42003-3800 |
| Practice Telephone | 2704431220 |
| Practice Fax Number | 2704430023 |
| Mailing Telephone | 2704157653 |
| Mailing Fax Number | 2705758359 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
3002203 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100096180 | 05 |
| Street Address |
2605 KENTUCKY AVE SUITE 301 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152279 | Michael A Sexton | Audiologist | 2605 Kentucky Ave, Dob 3, Suite 601, Paducah, KY 42003-3800 | 2005-05-24 |
| 1841739612 | Baptist Health Medical Group Obgyn | Specialist/Technologist, Other | 2605 Kentucky Ave, Suite 301, Paducah, KY 42003-3800 | 2017-02-14 |
| 1508314212 | Felicia Cooper | Nurse Practitioner | 2605 Kentucky Ave, Suite 601, Paducah, KY 42003-3800 | 2016-09-12 |
| 1013388784 | Alexa T Payne | Nurse Practitioner | 2605 Kentucky Ave, Suite 601, Paducah, KY 42003-3800 | 2015-10-07 |
| 1679941579 | Valerie Marie Clark | Nurse Practitioner | 2605 Kentucky Ave, Suite 304, Paducah, KY 42003-3800 | 2015-09-09 |
| 1922401611 | Baptist Health Medical Group Inc | Psychologist | 2605 Kentucky Ave, Suite 306, Paducah, KY 42003-3800 | 2014-10-08 |
| 1992117402 | Adrian Leigh Holmes | Nurse Practitioner | 2605 Kentucky Ave, Suite 202, Paducah, KY 42003-3800 | 2014-06-02 |
| 1336563543 | Advanced Internal Medicine Pllc | Internal Medicine | 2605 Kentucky Ave, Suite 402, Paducah, KY 42003-3800 | 2014-02-07 |
| 1215278734 | Shelby Nicole Snow | Nurse Practitioner | 2605 Kentucky Ave, Suite 501, Paducah, KY 42003-3800 | 2013-03-07 |
| 1174882658 | Robert James Learch | Internal Medicine | 2605 Kentucky Ave, Suite 602, Paducah, KY 42003-3800 | 2012-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679941579 | Valerie Marie Clark | Nurse Practitioner | 2605 Kentucky Ave, Suite 304, Paducah, KY 42003-3800 | 2015-09-09 |
| 1285957308 | Rebecca G Johnson | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003-7941 | 2010-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275003519 | Tereza J Peercy | Nurse Practitioner | 3809 Carriage Pointe Dr, Crestwood, KY 40014-8537 | 2018-11-29 |
| 1063913986 | Tara Lynn Denton | Nurse Practitioner | 1425 W Broadway, Louisville, KY 40203-2059 | 2018-02-26 |
| 1780131037 | Stacey Gaunce | Nurse Practitioner | 956 Lower Hatcher Creek Rd, Stanton, KY 40380-9765 | 2016-09-03 |
| 1043686561 | Ashley Barton | Nurse Practitioner | Us-25e Cumberland Gap Parkway, Gray, KY 40734 | 2015-08-19 |
| 1093107781 | Lecresha Sewell | Nurse Practitioner | 4123 Dutchmans Ln Ste 250, Louisville, KY 40207-4707 | 2015-03-04 |
| 1679824882 | Cheryl Yvette Wofford | Nurse Practitioner | 3307 Breckenridge Ln, Louisville, KY 40220-3213 | 2012-09-27 |
| 1043570328 | Misty H Powers | Nurse Practitioner | 2851 New Hartford Rd # B, Owensboro, KY 42303-1320 | 2012-05-21 |
| 1255655155 | Leslie Denise Simmons | Nurse Practitioner | 1858 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2010-03-22 |
| 1326287905 | Aesthetic Associates & Women's Health LLC | Nurse Practitioner | 112 Keeton Dr, Hopkinsville, KY 42240-8756 | 2009-02-05 |
| 1215182951 | Womens Center for Gynecology and Bladder Disorders | Nurse Practitioner | 5512 Bardstown Rd, Louisville, KY 40291-1910 | 2008-11-21 |
| 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.