Active NPI
Confluence LLC
- Multi-Specialty Clinic/Center
- Paducah, KY
National Provider Identifier
1194480780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katharine Coale, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588693840 | Medicaid | KY | |
| 7100488130 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Paducah, KY
- NPI 1780196121
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.