First Steps Wellness LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Russellville, KY
NPI 1386366649 · NPPES record last updated Apr 10, 2025
Key facts
- NPI
- 1386366649
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- FIRST STEPS WELLNESS LLC
- Practice address
- 252 N Main St Ste 1
Russellville, KY 42276-1825 - Phone
- (270) 216-0864
- Fax
- (270) 596-0002
- NPI assigned
- Sep 14, 2022
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kimberly Cheree Buckner, ARNP
- Title
- Ceo/Owner
- Phone
- (270) 306-1008
Practitioners 1
-
Kimberly Cheree Buckner, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230530001091 | KY | Part B Supplier - Clinic/Group Practice | 8224495700 |
Receives reassigned benefits from 1 practitioner Practice locations: Russellville, KY |
National Provider Directory
Locations
252 N Main St
Ste 1
Russellville, KY 42276
Phone (270) 216-0864
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
252 N Main St Ste 1
Russellville, KY 42276-1825
Mailing address
252 N Main St Ste 1
Russellville, KY 42276-1825
Phone (270) 216-0864
Other providers in Russellville, KY
- James Carlisle Dodson
- Ronald B Elder
- Adam Wesley Ellis
- Daniel Lee Emery
- Fast Pace Kentucky, PLLC
- Lindsey K Flanders
- Danielle Crystin Kennedy Foster
- Amanda L Frank
- Melanie Fraser
- Abigail Freeman
All providers in Russellville, 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 Apr 10, 2025. 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.