Individual provider Active NPI

Misty Dawn Lee, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1730946385
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4016687 Issued in KY
Practice address
2327 New Holt Rd
Paducah, KY 42001-7404
Phone
(270) 310-9200
Fax
(270) 477-0007
NPI assigned
Feb 29, 2024
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4016687 KY Primary

Addresses

Primary practice location

2327 New Holt Rd
Paducah, KY 42001-7404

Mailing address

5050 Village Square Dr Ste B
Paducah, KY 42001-7552
Phone (270) 310-9200

Other names 1

  • Misty Coleman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403003667 KY Practitioner - Nurse Practitioner 7315113925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emerald Therapy Center LLCGroup PAC ID 6103241211, 16 clinicians

Practice addresses (Care Compare)

2327 New Holt Rd
Paducah, KY 42001-7404
Phone (270) 534-5128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Therapy Center, LLC CurrentSince Nov 24, 2024 Accepting new patients
Emerald Therapy Center, LLC CurrentSince Nov 24, 2024 Accepting new patients

Locations

1019 Paducah Rd
Ste C
Mayfield, KY 42066
Phone (270) 534-5128

1640 McCracken Blvd
Ste 200
Paducah, KY 42001
Phone (270) 534-5128

2327 New Holt Rd
Paducah, KY 42001
Phone (270) 534-5128

5050 Village Square Dr
Ste B
Paducah, KY 42001
Phone (270) 443-0681

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1730946385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 VILLAGE SQUARE DR STE B",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017552",
            "telephone_number": "270-310-9200",
            "fax_number": "270-477-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017404",
            "telephone_number": "270-310-9200",
            "fax_number": "270-477-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4016687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "COLEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.