Healthcare Provider Details

I. General information

NPI: 1578414074
Provider Name (Legal Business Name): REMEDI HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7151 STATE ROUTE 2
GREENUP KY
41144-7861
US

IV. Provider business mailing address

7151 STATE ROUTE 2
GREENUP KY
41144-7861
US

V. Phone/Fax

Practice location:
  • Phone: 606-922-2895
  • Fax:
Mailing address:
  • Phone: 606-922-2895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ASHLEE SHAE NICHOLS
Title or Position: OWNER
Credential: APRN
Phone: 606-922-2895