Active NPI
Western Kentucky Behavioral Health
- Psychiatric/Mental Health Nurse Practitioner
- Dixon, KY
National Provider Identifier
1194156596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- WESTERN KENTUCKY BEHAVIORAL HEALTH
- Practice address
- 2363 Lyce Duncan Rd
Dixon, KY 42409-9761 - Phone
- (270) 213-3635
- Fax
- (270) 213-5015
- NPI assigned
- Dec 10, 2013
- Last updated
- Aug 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Regina Elise Robison, APRN
- Title
- Owner
- Phone
- (270) 213-3635
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2363 Lyce Duncan Rd
Dixon, KY 42409-9761
Mailing address
2363 Lyce Duncan Rd
Dixon, KY 42409-9761
Phone (270) 213-0094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Dixon, KY
- NPI 1316269871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692316800000",
"number": "1194156596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2363 LYCE DUNCAN RD",
"city": "DIXON",
"state": "KY",
"postal_code": "424099761",
"telephone_number": "270-213-0094",
"fax_number": "270-693-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2363 LYCE DUNCAN RD",
"city": "DIXON",
"state": "KY",
"postal_code": "424099761",
"telephone_number": "270-213-3635",
"fax_number": "270-213-5015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN KENTUCKY BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-10",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A",
"authorized_official_last_name": "ROBISON",
"authorized_official_first_name": "REGINA",
"authorized_official_middle_name": "ELISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-213-3635",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dixon, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.