Individual provider Active NPI

Emilee Renee Prewitt-Haggard, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1891626289
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4058364 Issued in KY
Practice address
140 Bryan Blvd
Corbin, KY 40701-2775
Phone
(606) 523-2005
NPI assigned
May 26, 2026
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 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 4058364 KY Primary

Addresses

Primary practice location

140 Bryan Blvd
Corbin, KY 40701-2775

Mailing address

140 Bryan Blvd
Corbin, KY 40701-2775

Other practice location 1

315 Hospital Dr Ste 2
Barbourville, KY 40906-7917
Phone (606) 546-4060

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4058364KYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1891626289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BRYAN BLVD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BRYAN BLVD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012775",
            "telephone_number": "606-523-2005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Hospital Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Barbourville",
            "state": "KY",
            "postal_code": "409067917",
            "country_code": "US",
            "telephone_number": "606-546-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREWITT-HAGGARD",
        "first_name": "EMILEE",
        "middle_name": "RENEE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4058364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.