WESTERN STATE NURSING FACILITY
NPI 1134124167
Psychiatry & Neurology - Psychiatry in Hopkinsville, KY

Q: What is Commonwealth Of Kentucky's NPI number?

The NPI number for Commonwealth Of Kentucky is 1134124167. It was assigned to this organization in the NPPES registry on June 16, 2005. The provider is doing business as Western State Nursing Facility.

Q: What is Commonwealth Of Kentucky's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since June 16, 2005CLIA 18D0648657 · Waiver

2400 RUSSELLVILLE RD, US 68 EAST, HOPKINSVILLE, KY 42241(502) 886-4431(270) 886-4487 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Western State Nursing Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN STATE NURSING FACILITY (NPI 1134124167) is a healthcare organization registered as a psychiatry in Hopkinsville, Kentucky and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jennifer Moore, Assistant Director, as its authorized official.

NPPES Registry Identity

NPI1134124167

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameCOMMONWEALTH OF KENTUCKY

Location Address2400 RUSSELLVILLE RD, US 68 EASTHopkinsville, KY 42241

Mailing AddressPo Box 2200, 2400 Russellville Road, Us 68 EastHopkinsville, KY 42241 · (502) 886-4431 · Fax (270) 886-4487

Phone(502) 886-4431

Fax(270) 886-4487

Organization SubpartYes

Authorized OfficialJennifer MooreAssistant Director · (502) 782-6117

Enumeration DateJune 16, 2005

Last NPPES UpdateAugust 7, 2024

NPPES CertifiedAugust 7, 2024

✔ NPI 1134124167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 100490 (KY)

Also ListedIntermediate Care Facility, Intellectual DisabilitiesTaxonomy 315P00000X

2400 RUSSELLVILLE RD, Hopkinsville, KY 42241

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Other Names 1

Doing Business AsWestern State Nursing Facility

Other Identifiers 1

Medicaid12400024KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0648657

Western State Nursing Facility · Hopkinsville, KY

Active · expires Aug 31, 2026

CLIA Number18D0648657

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorDr. Prakash Shah

Laboratory Phone(502) 886-4431

Laboratory LocationWestern State Nursing FacilityPO Box 2200 2400 Russellville Rd - Physical Location, Hopkinsville, KY 42241

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD HUNTER WORKMAN JR. MD

Psychiatry & Neurology (Psychiatry)

2400 RUSSELLVILLE RD
HOPKINSVILLE, KY 42241

Christian County (270) 889-6025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Commonwealth Of Kentucky's NPI number?

The NPI number for Commonwealth Of Kentucky is 1134124167. It was assigned to this organization in the NPPES registry on June 16, 2005. The provider is doing business as Western State Nursing Facility.

Where is Commonwealth Of Kentucky located?

Commonwealth Of Kentucky is located at 2400 Russellville Rd Us 68 East, Hopkinsville, KY 42241. The listed phone number is (502) 886-4431.

What is Commonwealth Of Kentucky's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Commonwealth Of Kentucky hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0648657) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Commonwealth Of Kentucky was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.