CHERYL R GORE APRN NPI 1710375050

NPI Information

NPI: 1710375050
Provider Name: CHERYL R GORE, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: LABETTE CENTER FOR MENTAL HEALTH SERVICES INCORPORATED

PECOS Registration: Yes

Address:
855 LOVERS LN STE 106
BOWLING GREEN, KY
ZIP 42103
Phone: (270) 938-5765
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Cheryl R Gore, APRN is a psychiatric/mental health nurse practitioner in Bowling Green, KY with 10 years of experience. Cheryl R Gore, APRN NPI is 1710375050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

855 LOVERS LN STE 106
BOWLING GREEN, KY
ZIP 42103-989
Phone: (270) 938-5765
Fax: (833) 471-3546

The NPI 1710375050 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/8/2015 and was last updated on 3/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	3009103	KENTUCKY	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5010003	NORTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100346680	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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