Active NPI
Theresa L Hope, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Palatka, FL
National Provider Identifier
1811004427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 18839
- Practice address
- 330 Kay Larkin Dr
Palatka, FL 32177 - Phone
- (386) 329-3780
- NPI assigned
- Aug 23, 2006
- Last updated
- Feb 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2009033444 | MO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60048658 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP9321243 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3005268 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 18839 | CA | Primary |
Addresses
Primary practice location
330 Kay Larkin Dr
Palatka, FL 32177
Mailing address
1351 Newtown Pike BLDG 1
Lexington, KY 40511-1277
Phone (859) 253-1686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731081 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3005268 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
| 2009033444 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP60048658 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky River Community Care, Inc | Psychiatric/Mental Health | Past | Accepting new patients |
| Comprehend Inc Regional Mental Health- Mental Retardation Board Inc | Past | Accepting new patients | |
| Ozark Center | Past | Accepting new patients | |
| Cumberland River Behavioral Health, Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Comprehend, Inc
- Community/Behavioral Health Agency
- Maysville, KY
- NPI 1720019987
-
- Community/Behavioral Health Agency
- Corbin, KY
- NPI 1902023526
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hazard, KY
- NPI 1528017142
Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Joplin, MO
- NPI 1790796878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1811004427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 NEWTOWN PIKE BLDG 1",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111277",
"telephone_number": "859-253-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 KAY LARKIN DR",
"city": "PALATKA",
"state": "FL",
"postal_code": "32177",
"telephone_number": "386-329-3780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPE",
"first_name": "THERESA",
"middle_name": "L",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2009033444",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60048658",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP9321243",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3005268",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "18839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790731081",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palatka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.