Donavan, PSC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3006067P Issued in KY

Legal business name

DONAVAN, PSC

Doing business as

parkway medical clinic

Practice address

726 S US Highway 25E
Barbourville, KY 40906-7316

Phone

(606) 627-0525

Fax

(606) 546-4579

NPI assigned

Aug 26, 2011

Last updated

Sep 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Louise Broughton, APRN

Title

Owner/Aprn

Phone

(606) 627-5565

Specialties & licenses 1

Addresses

Other names 1

• parkway medical clinic Doing business as

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1881974418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409060310",
            "telephone_number": "606-627-0525",
            "fax_number": "606-546-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 S US HIGHWAY 25E",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067316",
            "telephone_number": "606-627-0525",
            "fax_number": "606-546-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONAVAN, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "BROUGHTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/APRN",
        "authorized_official_telephone_number": "606-627-5565",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006067P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "parkway medical clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Nicole Davis, APRN
• Savannah Marie Davis
• Teresa Michelle Davis, CFY-SLP
• Dialysis Specialists of Barbourville, Inc. (Dialysis Specialists of Barbourville)
• Steven R Dickerson, LMT
• Elizabeth Kathleen Lewgood Douglas, MD
• Sarah Doyle, PA-C
• Dr. Cynthia Corbin O.D. PSC
• Dr. Cynthia Corbin OD PSC
• Robert Adrian Dunaway, DMD

• Family Nurse Practitioner in Barbourville, KY
• Providers in Barbourville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.