Organization Active NPI

Confluence LLC

  • Multi-Specialty Clinic/Center
  • Paducah, KY
National Provider Identifier
1194480780
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CONFLUENCE LLC
Practice address
425 S 6TH St
Paducah, KY 42003-1809
Phone
(270) 994-4450
NPI assigned
Nov 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katharine Coale, APRNNPI 1780196121
Title
Pmhnp/Director
Phone
(270) 994-4450

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)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

425 S 6TH St
Paducah, KY 42003-1809

Mailing address

4140 Minnich Ave
Paducah, KY 42001-4642
Phone (270) 994-4450

Other identifiers 2

IdentifierTypeStateIssuer
1588693840MedicaidKY
7100488130MedicaidKY

National Provider Directory

National Provider Directory

Locations

425 S 6th St
Paducah, KY 42003
Phone (270) 994-4450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1194480780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 MINNICH AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014642",
            "telephone_number": "270-994-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S 6TH ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420031809",
            "telephone_number": "270-994-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFLUENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "COALE",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_title_or_position": "PMHNP/DIRECTOR",
        "authorized_official_telephone_number": "270-994-4450",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588693840",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100488130",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.