Fumiko Hattori (NPI# 1396154480, PAC ID# 2466671367) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1396154480 |
| PAC ID by PECOS | 2466671367 |
| Professional Enrollment ID | I20140908001706 |
| Full Name | Fumiko Hattori |
| Organization Legal Name | WESTERN KY REGIONAL MHMR BOARD INC |
| Address |
425 Broadway St Paducah KY 42001-0713 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0446154587 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180116 | JACKSON PURCHASE MEDICAL CENTER |
| 180027 | MURRAY-CALLOWAY COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1525 Cuba Rd, Mayfield, KY 42066-6809 | 2702472588 | WESTERN KY REGIONAL MHMR BOARD INC |
| 1539 Cuba Rd, Mayfield, KY 42066-6809 | 2704427121 | WESTERN KY REGIONAL MHMR BOARD INC |
| 425 Broadway St, Paducah, KY 42001-0713 | WESTERN KY REGIONAL MHMR BOARD INC |
| Organization Legal Name | WESTERN KY REGIONAL MHMR BOARD INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kala Chakradhar | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 1051 N 16th St, Suite B, Murray, KY 42071-8825 |
| Roschnell M Brown | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 1525 Cuba Rd, Mayfield, KY 42066-6809 |
| Duncan E Darnell | Psychiatry | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Sondra A Jones | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Devin Michael Lewis | Nurse Practitioner | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Suite 103, Paducah, KY 42001-0713 |
| Craig D Keene | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Leah E Fondaw | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Scott Helm | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 1051 N 16th St, Suite B, Murray, KY 42071-8825 |
| Pamela G Owen | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Ronnie Edward Golden | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Street Address |
425 BROADWAY ST |
| City | PADUCAH |
| State | KY |
| Zip | 42001-0713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duncan E Darnell | Psychiatry | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Sondra A Jones | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Devin Michael Lewis | Nurse Practitioner | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Suite 103, Paducah, KY 42001-0713 |
| Craig D Keene | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Leah E Fondaw | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Pamela G Owen | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Ronnie Edward Golden | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Elizabeth A Fleming | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Kiandra K Hebert | Psychologist, Clinical | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Suite 102, Paducah, KY 42001-0713 |
| Leta M Whited | Nurse Practitioner | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Suite 103, Paducah, KY 42001-0713 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin L Parker | Psychiatry | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Angela Fiorita Day | Clinical Psychologist | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Suite 102, Paducah, KY 42001-0713 |
| Gretchen A Roof | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Connie S Ellison | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Carl W Marquess Jr. | Ophthalmology | 1750 Broadway St, Paducah, KY 42001-2706 | |
| David Tucker | Optometry | Clarkson Optometry Midwest Inc | 1748 Broadway St, Paducah, KY 42001-2706 |
| Justin Ray Travis | Optometry | Clarkson Optometry Midwest Inc | 1748 Broadway St, Paducah, KY 42001-2706 |
| Chelsey D Johnson | Optometry | Clarkson Optometry Midwest Inc | 1748 Broadway St, Paducah, KY 42001-2706 |
| Mark Owens | Optometry | Clarkson Optometry Midwest Inc | 1748 Broadway St, Paducah, KY 42001-2706 |
| Michael A Nicholas | Psychologist, Clinical | 100 Fountain Ave, Suite 220, Paducah, KY 42001-2772 | |
| Find all physicians in zip 42001 | |||
| City | PADUCAH |
| Zip Code | 42001 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PADUCAH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Fumiko Hattori.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.