Destiny Renee Patterson

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

201226682 Issued in KY

Practice address

1601 Corinthian Dr Apt 824
Florence, KY 41042-7400

Phone

(901) 520-2984

NPI assigned

May 13, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1700677481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CORINTHIAN DR APT 824",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410427400",
            "telephone_number": "901-520-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CORINTHIAN DR APT 824",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410427400",
            "telephone_number": "901-520-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "DESTINY",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "201226682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond K Pate II, RAYMOND PATE D.O.
• Amita Harikrishna Patel, DMD
• Gopi Ashokkumar Patel
• Jaykumar Patel, MD
• Prakruti Patel
• Navonda Patterson, BA
• Paul J Janson MD PSC
• Paul J Ruwe Inc
• Paul J Ruwe Inc
• Erin Paul, MA

• Early Intervention Provider Agency in Florence, KY
• Providers in Florence, KY by specialty
• Early Intervention Provider Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.