MIRA DAUGHERTY


Address: 511 Middleburg St, Liberty, KY 42539-3009
Phone: 6067875963

MIRA DAUGHERTY (NPI# 1992207088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992207088
Entity Type Individual
Full Name MIRA DAUGHERTY
Credential APRN
Practice Address 511 Middleburg St
Liberty
KY 42539-3009
Mailing Address 141 Chandler Dr
Danville
KY 40422-8449
Practice Telephone 6067875963
Mailing Telephone 6066690537
Enumeration Date 2018-03-05
Last Update Date 2018-03-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
3012025 KY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 511 MIDDLEBURG ST
City LIBERTY
State KY
Zip Code 42539-3009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861408809 Luann Elmore Nurse Practitioner 511 Middleburg St, Liberty, KY 42539-3009 2006-07-31
1376189605 Lisa Buis Nurse Practitioner 511 Middleburg St, Liberty, KY 42539-3009 2019-11-21
1306314752 Glen Ware Jr. Nurse Practitioner 511 Middleburg St, Liberty, KY 42539-3009 2018-11-04
1023500618 Emhfl, Inc. Family Medicine 511 Middleburg St, Liberty, KY 42539-3009 2018-05-31
1477073955 Cumberland Foot and Ankle Centers Orthopaedic Surgery 511 Middleburg St, Liberty, KY 42539-3009 2017-06-26
1518340595 Justin Marshall Payton Nurse Practitioner 511 Middleburg St, Liberty, KY 42539-3009 2015-07-08
1790932812 Ephraim Mcdowell Health Resource, Inc. Family Medicine 511 Middleburg St, Liberty, KY 42539 2008-08-20
1689729832 Ephraim Mcdowell Regional Medical Center Incorporated Family Medicine 511 Middleburg St, Liberty, KY 42539 2007-01-25
1992868251 Commonwealth Urology, Psc Urology 511 Middleburg St, Liberty, KY 42539 2006-12-18
1083799589 Anne Marie Davis Nurse Practitioner 511 Middleburg St, Liberty, KY 42539 2006-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710547211 Adult Day Health, Inc. Clinic/Center 39 Hwy 49, Liberty, KY 42539 2019-06-17
1144521303 David Antonio Medina Chiropractor 69 Hustonville St., Liberty, KY 42539 2010-11-04
1356677694 Masata, Inc. Community/Behavioral Health 549 Middleburg St., Liberty, KY 42539 2009-10-21
1174798078 Dr. Michele Beeler, D.m.d., Pllc Dentist 650 Whipp Avenue, Liberty, KY 42539 2008-04-23
1134314230 Cundiff Family Chiropractic, Psc Chiropractor 256 N. Wallace Wilkinson Blvd., Liberty, KY 42539 2007-09-11
1770782633 Lake Cumberland District Health Public Health or Welfare 2834 S. Us 127, Liberty, KY 42539 2007-07-12
1568596286 Back and Body Chiropractic Center Inc. Chiropractor 69 Hustonville Street, Liberty, KY 42539 2007-03-15
1497890545 Lake Cumberland District Health Department Public Health or Welfare 199 Adams Street, Liberty, KY 42539 2007-02-20
1891836581 Stanford Family Medicine & Obstetrics Psc Legal Medicine 19 Abes Plaza, Old Hustonville Rd, Liberty, KY 42539 2007-02-08
1740331537 Sheila Ann Ping Speech-Language Pathologist 7235 Thomas Ridge Road, Liberty, KY 42539 2007-01-16
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861408809 Luann Elmore Nurse Practitioner 511 Middleburg St, Liberty, KY 42539-3009 2006-07-31
1215382213 Quality Care Plus LLC Nurse Practitioner 2800 Beaumont Ave, Suite A, Liberty, TX 77575-5126 2016-04-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891393864 Lindsay Ann Traeger Nurse Practitioner 633 E Main St Unit 553, Louisville, KY 40202-4739 2020-10-13
1790396331 Kelley Rachelle Mcgarvey Nurse Practitioner 8174 Mall Rd, Florence, KY 41042-1414 2020-08-16
1093339772 Melony Jill Jaggers Nurse Practitioner 9798 Ky-259, Mcdaniels, KY 40152-7127 2020-05-29
1316569270 Glenn Allen Argento Nurse Practitioner 10039 Braxton Dr, Union, KY 41091-7631 2020-05-14
1104455682 Right Time Clinics, LLC Nurse Practitioner 715 Shaker Dr Ste 80, Lexington, KY 40504-3628 2020-04-06
1518517655 Alternative Health Solutions LLC Nurse Practitioner 235 Boggs Ln Ste 12&3, Richmond, KY 40475-2584 2019-09-19
1598239592 Christina Leigh Barnett Nurse Practitioner 2337 Sir Barton Way, Lexington, KY 40509-2474 2019-01-14
1669974119 Donald Ray Avery Jr. Nurse Practitioner 801 Barret Ave Ste 314, Louisville, KY 40204-1734 2018-03-01
1831632355 Dulce Amor Alcuino Davis Nurse Practitioner 1012 Weda Cir, Mayfield, KY 42066-3169 2016-12-01
1992157002 Markitta A Brown Nurse Practitioner 134 Roy Jenkins Dr, Corbin, KY 40701-3913 2016-07-13
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Competitor

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City LIBERTY
Zip Code 42539

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Dataset Information

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.

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