Provider Demographics
NPI:1194112755
Name:REIMNITZ, CATHERINE LEE (APRN, FNP-C,PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LEE
Last Name:REIMNITZ
Suffix:
Gender:F
Credentials:APRN, FNP-C,PMHNP-BC
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 636961
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6961
Mailing Address - Country:US
Mailing Address - Phone:513-981-5130
Mailing Address - Fax:513-981-5015
Practice Address - Street 1:1532 LONE OAK RD
Practice Address - Street 2:SUITE 345
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-7942
Practice Address - Country:US
Practice Address - Phone:270-444-2250
Practice Address - Fax:270-538-6596
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN19931363LF0000X
KY3009854363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100393850Medicaid
KYK173200Medicare PIN