Diana S King (NPI# 1104129238, PAC ID# 5395926604) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104129238 |
| PAC ID by PECOS | 5395926604 |
| Professional Enrollment ID | I20110221000011 |
| Full Name | Diana S King |
| Organization Legal Name | BLUEGRASS IMMEDIATE CARE, LLC |
| Address |
1541 Lebanon Rd Suite 1 Danville KY 40422-9601 |
| Phone Number | 8592363208 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3274671011 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181302 | THE JAMES B. HAGGIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 | 8592363208 | BLUEGRASS IMMEDIATE CARE, LLC |
| 2350 Grey Lag Way, Lexington, KY 40509-2477 | 8592633822 | BAPTIST HEALTH MEDICAL GROUP INC |
| 110 Metker Trl, Stanford, KY 40484-1020 | 6062392452 | EPHRAIM MCDOWELL HEALTH RESOURCE INC |
| Organization Legal Name | BLUEGRASS IMMEDIATE CARE, LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beth Ann Burchett | Nurse Practitioner | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Summer Blair | Nurse Practitioner | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Mary N. Fuller | Nurse Practitioner | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Donald Hamner | Family Medicine | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Rodney Mirich | Obstetrics/gynecology | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Michael Kyle Allen | Physician Assistant | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Andrea M Tompkins | Nurse Practitioner | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Jennifer Daniel | Nurse Practitioner | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Joan Arnold | Nurse Practitioner | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Street Address |
1541 LEBANON RD SUITE 1 |
| City | DANVILLE |
| State | KY |
| Zip | 40422-9601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beth Ann Burchett | Nurse Practitioner | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Summer Blair | Nurse Practitioner | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Mary N. Fuller | Nurse Practitioner | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Donald Hamner | Family Medicine | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Rodney Mirich | Obstetrics/gynecology | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Michael Kyle Allen | Physician Assistant | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Andrea M Tompkins | Nurse Practitioner | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Jennifer Daniel | Nurse Practitioner | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Joan Arnold | Nurse Practitioner | Bluegrass Immediate Care, LLC | 1541 Lebanon Rd, Suite 1, Danville, KY 40422-9601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deshana A Collett | Physician Assistant | Bluegrass Extended Care | 642 N 3rd St, Danville, KY 40422-1125 |
| Cheryl R Rivard | Psychiatry | New Vista of The Bluegrass Inc | 650 High St, Danville, KY 40422-1235 |
| Yu Cho Shih | Psychiatry | New Vista of The Bluegrass Inc | 650 High St, Danville, KY 40422-1235 |
| Anna M Hume | Nurse Practitioner | New Vista of The Bluegrass Inc | 650 High St, Danville, KY 40422-1235 |
| Pauline Richard | Clinical Social Worker | Bluegrass.org Inc | 650 High St, Danville, KY 40422-1235 |
| Leigh S Dunn | Clinical Social Worker | Bluegrass.org Inc | 650 High St, Danville, KY 40422-1235 |
| Alicia G Chisholm | Clinical Social Worker | Bluegrass.org Inc | 650 High St, Danville, KY 40422-1235 |
| Ingeborg G Petit | Nurse Practitioner | Bluegrass.org Inc | 650 High St, Danville, KY 40422-1235 |
| Sheenah D Yoder | Occupational Therapy | The Weston Group Inc | 1375 Perryville Rd, Danville, KY 40422-1337 |
| Jeremy T Parsons | Occupational Therapy | The Weston Group Inc | 1375 Perryville Rd, Danville, KY 40422-1337 |
| Find all physicians in zip 40422 | |||
| City | DANVILLE |
| Zip Code | 40422 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DANVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Diana S King.
| 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.