Western Kentucky Behavioral Health
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Dixon, KY
NPI 1194156596 · NPPES record last updated Aug 18, 2023
Key facts
- NPI
- 1194156596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- 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
- Organization subpart
- No
Authorized official
- Name
- Regina Elise Robison, APRN
- Title
- Owner
- Phone
- (270) 213-3635
Practitioners 1
-
Regina Elise Robison, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140303001707 | KY | Part B Supplier - Clinic/Group Practice | 0749410280 |
Receives reassigned benefits from 1 practitioner Practice locations: Dixon, KY |
| O20230808003807 | IN | Part B Supplier - Clinic/Group Practice | 0749410280 | Practice locations: Boonville, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
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
Other providers in Dixon, KY
- Regina Elise Robison
- Cassandra Schneider
- Chelsea Jo Vance
- Webster County Ambulance District
- Webster County Board of Education
- Josiah Ethan Zachary
All providers in Dixon, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.