NPI Code Details Logo

NPI 1578414074

NPI 1578414074 : REMEDI HEALTH : GREENUP, KY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1578414074
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    REMEDI HEALTH 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/09/2026
-----------------------------------------------------
    Last Update Date     |    02/09/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7151 STATE ROUTE 2 
-----------------------------------------------------
    City                 |    GREENUP
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    41144-7861
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    606-922-2895
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7151 STATE ROUTE 2 
-----------------------------------------------------
    City                 |    GREENUP
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    41144-7861
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    606-922-2895
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     ASHLEE SHAE NICHOLS 
-----------------------------------------------------
    Credential           |    APRN
-----------------------------------------------------
    Telephone            |    606-922-2895
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.