MIRA DAUGHERTY (NPI# 1992207088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
511 MIDDLEBURG ST |
City | LIBERTY |
State | KY |
Zip Code | 42539-3009 |
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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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 |
Find all providers in zip 42539 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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 |
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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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.