DONAVAN, PSC (NPI# 1881974418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881974418 |
| Entity Type | Organization |
| Organization Name | DONAVAN, PSC |
| Other Organization Name | PARKWAY MEDICAL CLINIC |
| Practice Address |
726 S Us Highway 25e Barbourville KY 40906-7316 |
| Mailing Address |
Po Box 310 Barbourville KY 40906-0310 |
| Practice Telephone | 6066270525 |
| Practice Fax Number | 6065464579 |
| Mailing Telephone | 6066270525 |
| Mailing Fax Number | 6065464579 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-09-16 |
| Authorized Official Name | MRS. MICHELLE LOUISE BROUGHTON (OWNER/APRN) |
| Authorized Official Telephone | 6066275565 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3006067P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| parkway medical clinic | Doing Business As Name - Organization |
| Street Address |
726 S US HIGHWAY 25E |
| City | BARBOURVILLE |
| State | KY |
| Zip Code | 40906-7316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187334 | Barbourville Prescription Center, LLC | Pharmacy | 1881 South U.S. Highway 25e, Barbourville, KY 40906 | 2020-02-28 |
| 1992368617 | Carolyn Disney Byble | Counselor | 1909 Hwy. 3439, Barbourville, KY 40906 | 2019-04-18 |
| 1386139111 | Amy Lynn Mills | Adult Companion | 12 Knox Plaza, Barbourville, KY 40906 | 2018-06-25 |
| 1457858250 | Angela Turner | Nurse Practitioner | 1927 Us S Hwy 25e, Barbourville, KY 40906 | 2018-04-09 |
| 1376049437 | Kalee Elizabeth Howard | Case Manager/Care Coordinator | 415 Highway 225, Barbourville, KY 40906 | 2018-04-05 |
| 1063949303 | Robin Renee Carr | Counselor | 415 Ky Hwy 225, Barbourville, KY 40906 | 2017-05-17 |
| 1770940736 | Jennifer Nicole James | Case Manager/Care Coordinator | 415 Ky 225, Barbourville, KY 40906 | 2016-01-21 |
| 1891116455 | Glenna Bargo | Nurse Practitioner | 728 S Us Highway 25e Loop Number 2, Loop Number 2, Barbourville, KY 40906 | 2013-12-30 |
| 1275883050 | Brian Keith Abner | Physician Assistant | 215 North Allison Avenue, Barbourville, KY 40906 | 2012-09-19 |
| 1558660944 | Sleep Diagnostics of Kentucky, Inc | Clinic/Center | 606a Knox Street, Barbourville, KY 40906 | 2011-03-24 |
| Find all providers in zip 40906 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423383 | Heather Nicole Davis | Nurse Practitioner | 215 Treuhaft Blvd Ste 8, Barbourville, KY 40906-7361 | 2020-10-01 |
| 1942836796 | Diondra Warren | Nurse Practitioner | 104 Short St, Barbourville, KY 40906-1536 | 2020-03-12 |
| 1396378501 | Amanda Renee Lawson | Nurse Practitioner | 215 Treuhaft Blvd Ste 3b, Barbourville, KY 40906-7361 | 2020-02-16 |
| 1932663846 | Luvena Hensley | Nurse Practitioner | 2972 S Us Highway 25e, Barbourville, KY 40906-8105 | 2019-01-24 |
| 1548755499 | Thelma J Gray | Nurse Practitioner | 185 Treuhaft Blvd Ste 4, Barbourville, KY 40906-4090 | 2018-06-23 |
| 1891116455 | Glenna Bargo | Nurse Practitioner | 728 S Us Highway 25e Loop Number 2, Loop Number 2, Barbourville, KY 40906 | 2013-12-30 |
| 1942255245 | Keith Allen Everitt | Nurse Practitioner | 14 Knox Plz, Barbourville, KY 40906-7300 | 2006-05-24 |
| 1831167584 | Gina Good | Nurse Practitioner | 1927 S Hwy Us E, Barbourville, KY 40906-7300 | 2006-03-09 |
| 1083211544 | Raven Jordan | Nurse Practitioner | 215 N Allison Ave, Barbourville, KY 40906-1336 | 2020-10-07 |
| 1821609173 | Brooklyn Prewitt | Nurse Practitioner | 1927 S Us Highway 25e, Barbourville, KY 40906-7600 | 2020-08-11 |
| Find all providers in BARBOURVILLE | ||||
| City | BARBOURVILLE |
| Zip Code | 40906 |
Please comment or provide details below to improve the information on DONAVAN, PSC.
| 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.