My Professional Background
_____________Demographics___________________
• Credentials: DNP(c), MSN, RN-BC, APRN, PMHNP-BC, FNP-BC, AGPCNP-BC, CLNC-BC
• Date of Birth: September 18, 1975
• Age: 41
• Place of Birth: Whitesburg, Kentucky
• Citizenship: U.S. Citizen
• Sex: Male
• Race: Caucasian, Non-Hispanic
• Marital Status: Single
• Children: None
• Veteran Status: None
______________Education_______________________
• September 2015-May 2018
University of Massachusetts-Boston, Boston, MA
Doctorate of Nursing Practice (DNP)
Capstone: “Developing a Protocol to Treat Comorbid Bipolar and ADHD with Stimulants in
the Outpatient Setting”
• August 2013-December 2014
University of Alabama, Tuscaloosa, AL
Doctorate of Nursing Practice (DNP)
23 Credits, Admitted to Candidacy
Capstone: “Using A Systematic-Led Enhancement Program to Increase Time Spent Between
Patients and Providers in the Outpatient Setting”
• January 2013-May 2013
University of Massachusetts-Boston, Boston, MA
Post Masters of Science in Nursing Certificate
Adult Geriatric Primary Care Nurse Practitioner (AGPCNP)
• August 2011-December 2012
University of Massachusetts-Boston, Boston, MA
Post Masters of Science in Nursing Certificate
Family Nurse Practitioner (FNP)
• August 2007-May 2010
University of Kentucky, Lexington, KY
Masters of Science in Nursing
Family Psychiatric Mental Health Nurse Practitioner (PMHNP)
• August 2007-May 2009
Walden University, Minneapolis, MN
Masters of Science in Nursing
Nursing Leadership & Management
• August 2002-May 2004
Eastern Kentucky University, Richmond, KY
Baccalaureate of Science in Nursing (BSN)
• August 2000-May 2002
Southeast Kentucky Community & Technical College, Cumberland, KY
Associates Degree in Applied Science in Registered Nursing (ADN)
• August 1999-May 2001
Southeast Kentucky Community & Technical College, Cumberland, KY
Associates Degree in Applied Science in Law Enforcement Technology
• August 1995-May 1997
Hazard Community & Technical College, Hazard, KY
Associates Degree in Science (AS)
Pre-Medicine Studies
• August 1995-December 1996
Hazard Community & Technical College, Hazard, KY
Associates Degree in Arts (AA)
Pre-Medicine Studies
__________________________Certifications________________________________________
• October 2014-December 2014
Penn Foster College, Scranton, PA
Advanced Paralegal Applications Certification
• June 2014-October 2014
Penn Foster College, Scranton, PA
Real Estate, Wills, and Estates for Paralegal Certification
• September 2011
Vickie Millazo Institute, Houston, TX
Certified Legal Nurse Consultant (CLNC)
__________________________Professional Experience_______________________________
• June 2016-Present
Kentucky Counseling Center, Louisville, KY
Psychiatric Nurse Practitioner
Independent Contractor
Child, Adolescent, Adult, & Geriatric Populations
Psychiatric Assessment, Diagnostics, and Medication Treatment Planning
Electronic Health Record: Therapy Notes
• August 2015-Present
Integrated Telehealth Partners, Waterloo, IA
Psychiatric Nurse Practitioner
Independent Contractor-Telepsychiatry
Child, Adolescent, Adult, & Geriatric Populations/Behavioral Health Units/Forensics
Psychiatric Assessment, Diagnostics, and Medication Treatment Planning
Electronic Health Record: VisionWorks
Telepsychiatry Communication Media: VSEE, GoToMeeting, PolyCom Real Presence, SKYPE
• June 2016-January 2017
Sterling Health Solutions, Mount Sterling, KY
Psychiatric Nurse Practitioner
Child, Adolescent, Adult, & Geriatric Populations
GeneSight Testing, PDD/CAKY population, Insomnia, Depression, Anxiety, ADHD, Bipolar
Psychiatric Assessment, Diagnostics, and Medication Treatment Planning
Electronic Health Record: eMDs
• February 2015-June 2016
HealthFirst Bluegrass, Inc.
Psychiatric Nurse Practitioner
Child, Adolescent, Adult, & Geriatric Populations
Medical Integration, Huddle Initiations, Collaboration
Psychiatric Assessment, Diagnostics, and Medication Treatment Planning
Electronic Health Record: GE’s Centricity
• October 2012-March 2016
Avanir Pharmaceuticals, Inc., Lexington, KY
Professional Product Speaker
Clinical Educator for Pseudobulbar Affect (PBA)
Product Promoter, Physician Liaison, & Speaker for Nuedexta for treating PBA
• January 2015-September 2015
Dr. Julie Ann Martin Chiropractic, Lexington, KY
Psychiatric Nurse Practitioner
Anxiety, PTSD, and Depression Associated with MVC’s, Weight Loss Management
Electronic Health Record: Autumn8
• September 2014-February 2015
Nurses Registry, Inc., Lexington, KY
Registered Nurse-Triage/Psychiatric Nurse Practitioner
Lexington Fayette County Health Department
Client: HealthFirst Bluegrass, Inc.
• November 2011-July 2014
Queens Consultation Center, Rego Park, NY
Psychiatric Nurse Practitioner
Independent Contractor
Child, Adolescent, Adult, & Geriatric Populations
Bipolar, Schizophrenia, Substance Abuse, ADHD, Depression, & Anxiety
Electronic Health Record: Practice Fusion
• January 2013-July 2014
Services for the Underserved, Brooklyn, NY
Psychiatric Nurse Practitioner
Dual Diagnosis, Schizophrenia Injections, HRA 2010e Assessments for Adults/Geriatrics
Electronic Health Record: NexGen
• August 2013-April 2014
New York Psychiatric Stress Relief Center, New York, NY
Psychiatric Nurse Practitioner
Independent Contractor
Child, Adolescent, Adult, & Geriatric Populations
• October 2011-October 2012
Citicare, Inc., New York, NY
Psychiatric Nurse Practitioner
Child, Adolescent, Adult, & Geriatric Populations
Bipolar, Schizophrenia, Substance Abuse, ADHD, Depression, & Anxiety
• April 2011-October 2011
David Szuster Psychiatry, Inc., Jackson Heights, NY
Psychiatric Nurse Practitioner
Independent Contractor
Child, Adolescent, Adult, & Geriatric Populations
• January 2011-August 2012
White Glove Placement, Brooklyn, NY
Psychiatric Registered Nurse
Psychiatric and Medical Emergency Staffing
Client: Metropolitan Hospital
• November 2010-August 2011
Metropolitan Hospital, New York, NY
Psychiatric Registered Nurse
Medical/Surgical Registered Nurse
Psychiatric and Medical Emergency Staffing
• February 2009-August 2010
Bourbon Community Hospital, Paris, KY
Psychiatric Registered Nurse
Psychiatric Admissions Coordinator-Stoner Creek
In-Patient Adult & Adolescent Psychiatric Unit Care/Detoxification Unit Care
• February 2008-April 2009
Central Baptist Hospital, Lexington, KY
Registered Nurse
Cardiac, Stroke, Post-Heart Catheterization
Cardiac Rehabilitation Care
• July 2003-February 2008
University of Kentucky Medical Center, Lexington, KY
Registered Nurse
Level I Trauma Care
Infectious Disease, Orthopedic/Trauma, Research Units
• August 2005-June 2008
Bluegrass Community & Technical College, Lexington, KY
Clinical Instructor
Laboratory Assistant
Associate Degree Registered Nursing Program
• June 2002-July 2003
Pikeville Medical Center, Pikeville, KY
Registered Nurse
Orthopedic/Oncology Unit
Emergency Room Care
___________________________Clinical Experience___________________________________
• January 2009-May 2009
Adult Psychiatric Clinical Rotation
United States Veterans Administration Hospital
2250 Leestown Road
Lexington, Kentucky 40511
Clinical Director: Dr. Patricia Howard/Lois Finch, APRN
• August 2009-December 2009
Child/Adolescent Psychiatric Clinical Rotation
Comprehensive Care Center
1351 Newtown Pike, #5
Lexington, Kentucky 40511
Clinical Director: Dr. Patricia Howard
• January 2010-May 2010
Geriatric Psychiatric Clinical Rotation
Park View Psychiatric Services, PSC.
510 Spring Street
Jeffersonville, Indiana 47130
Clinical Director: Dr. Patricia Howard/Janice Brashear, APRN
• August 2015-December 2015
DNP Internship I
University of Massachusetts Boston
50 Clinical Hours
Faculty: Dr. Sheryl LaCoursiere
• January 2016-May 2016
DNP Internship I
University of Massachusetts Boston
50 Clinical Hours
Faculty: Dr. Sheryl LaCoursiere
________________________Professional Credentials_______________________________
American Nurses Credentialing Center
Board Certified Family Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
Board Certified Family Nurse Practitioner (FNP-BC)
Board Certified Adult-Geriatric Primary Care Nurse Practitioner (AGPCNP-BC)
Board Certified Psychiatric Mental Health Registered Nurse (PMHRN-BC)
Board Certified Medical-Surgical Registered Nurse (CMSRN-BC)
Board Certified Gerontological Registered Nurse (CGRN-BC)
National Association of Certified Legal Nurse Consultants
Board Certified Legal Nurse Consultant (CLNC)
_____________________Licensure & Qualifications____________________________
• Kentucky Registered Nurse (RN)
License #: 1099065
Expires: October 31, 2017
• Kentucky Advanced Practice Registered Nurse (APRN)
License #: 3006546
Expires: October 31, 2017
• New York State Registered Professional Nurse (RN)
License #: 634583
Expires: August 31, 2018
• New York State Psychiatric Mental Health Nurse Practitioner (PMHNP)
License #: 401346
Expires: August 31, 2019
• New York State Family Health Nurse Practitioner (FNP)
License #: 338316
Expires: August 31, 2018
• Indiana Registered Nurse (RN)
License #: 28189287A
Expires: October 31, 2017
• Iowa Psychiatric Nurse Practitioner
License #: G135003
Expires: October 31, 2017
• American Nurses Credentialing Center (ANCC)
Board Certified Psychiatric Mental Health Registered Nurse (PMHRN-BC)
Certification Number: 2010003226
Expires: May 10, 2020
• American Nurses Credentialing Center (ANCC)
Board Certified Medical-Surgical Registered Nurse (CMSRN-BC)
Certification Number: 2008000673
Expires: April 29, 2018
• American Nurses Credentialing Center (ANCC)
Board Certified Gerontological Registered Nurse (GRN-BC)
Certification Number: 2013007080
Expires: June 14, 2018
• American Nurses Credentialing Center (ANCC)
Board Certified Family Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
Certification Number: 2010006707
Expires: July 16, 2020
• American Nurses Credentialing Center (ANCC)
Board Certified Family Nurse Practitioner (FNP-BC)
Certification Number: 2013003765
Expires: July 26, 2018
• American Nurses Credentialing Center (ANCC)
Board Certified Adult Geriatric Primary Care Nurse Practitioner (AGPCNP-BC)
Certification Number: 2013016581
Expires: September 20, 2018
• National Association of Certified Legal Nurse Consultants
Certified Legal Nurse Consultant
Expires: February 01, 2018
• National Provider Identifier (NPI)
Number: 1225349319
Taxonomy: 363LP0808X
• NPPES (CMS)
• Kentucky DEA: MD2285953
Expires: June 30, 2019
Schedules: 2, 2N, 3, 3N, 4, 5
• Iowa DEA: MD3589352
Expires: June 30, 2018
Schedules: 2, 2N, 3, 3N, 4, 5
• Iowa CSA Registration
Registration Number: 5202976
Expires: June 30, 2017
Schedules: 2, 2N, 3, 3N, 4, 5
• CPR Certification
Card Number: C-8524
Expires: September 16, 2018
• ACLS Certification
Card Number: H-8905
Expires: October 31, 2016
• Council for Affordable Quality Healthcare (CAQH)
Provider ID: 12132535
• Kentucky Medicaid
Provider #: 7100125810
• Medicare
Provider #: A400081450
• e-KASPER Account
• Personal Electronic Health Record
Practice Fusion
• Quest Care 360 Account
https://portal.care360.com/care360/care360.login
• Cover My Meds Medication Prior Authorization Account
https://www.covermymeds.com/main/
• Personal Health Record
Pneumonia Vaccine: September 21, 2016-Sterling Health Solutions
TDAP Vaccine: September 09, 2014-UK Healthcare
Influenza Vaccine: September 21, 2016-Sterling Health Solutions
TB Skin Test: September 23, 2016-0 mm induration-Sterling Health Solutions
• Kentucky Driver’s License
License Number: D92-019-438
Expires: October 19, 2018
• Federal Tax ID Number
Number: 27-2950794
• USA Passport
Expires: March 17, 2020
• 5.25 CEU Hours on Kentucky House Bill 1 and the use of KASPER
____________________________Professional Listings__________________________________
• Psychology Today
• Network Therapy (Expires 10/15/2017)
________________________Professional Liability Insurance________________________
Nurses Service Organization (NSO)
159 E. County Line Road
Hatboro, PA 19040-1218
1-800-247-1500
Policy #: 0619804155-8
Expires: October 01, 2017
Provided By: American Casualty Company of Reading, Pennsylvania
Limits: $1,000,000 each claim/$6,000,000 aggregate
_____________________Kentucky Physician Collaborator_______________________
Dr. Fareesh Kanga, M.D.-Psychiatrist
Kentucky License Number: 44133
Kentucky Board of Nursing Collaborative Agreement Since December 05, 2014
CAPA-CS on file
CAPA-NS on file
___________________Kentucky Notary Public-State at Large_____________________
Notary Public Number: 522078
My Commission Expires: October 27, 2018
_____________________Certified Legal Nurse Consultant_______________________
Vickie Milazzo Institute
5615 Kirby Drive, Suite 425
Houston, TX 77005-2448
Phone: (713) 942-2200
Website: www.legalnurse.com
Credential Period: January 26, 2016-February 01, 2018
Member: National Association of Legal Nurse Consultants (CLNC)
Listing: http://www.naclncdirectory.org/myListing.php
40 Continuing Education Contact Hours
_____________________Professional Development_____________________________
Professional Peer Reviewer
Journal: Archives of Psychiatric Nursing
Article Types: Research Papers
Editor-In-Chief: Joyce J. Fitzpatrick, PhD, RN, FAAN
Award: Certificate of Outstanding Contribution in Reviewing, March 2015
• Men Navigating Inward and Outward Through Depression
Manuscript Number: APN-D-13-00089
September 2013
• State of Science: Group Therapy Interventions for Sexually Abused Children
Manuscript Number: APN-D-13-00048R1
September 2013
• Perception of Adult Men and Women Towards Rape in Delhi, India
Manuscript Number: APN-D-14-00015
May 2014
• A Survey on 465 Patients with Post-Stroke Depression in China
Manuscript Number: APN-D-14-00078
August 2014
• The Effects of Dietary Tryptophan on Affective Disorders
Manuscript Number: APN-D-14-00080
October 2014
• Post-traumatic Stress Disorder and Its Predictors Among Tibetan Adolescents 3 Years After
the High-Altitude Earthquake in China
Manuscript Number: APN-D-14-00155
January 2015
• The Comparison of Experimental Avoidance, Mindfulness and Rumination in Trauma-Exposed
Individuals With and Without Posttraumatic Stress Disorder (PTSD) in an Iranian Sample
Manuscript Number: APN-D-15-00028
March 2015
• Medical-Surgical Nurses’ Perceptions of Psychiatric Patients: A Review of the Literature With
Clinical and Practice Applications
Manuscript Number: APN-D-15-00002
May 2015
• Reducing or Increasing Violence in Forensic Care: A Qualitative Study of Inpatient
Experiences
Manuscript Number: APN-D-15-00096
June 2015
• The Experiences of Cancer Stigma in Taiwan: A Qualitative Study of Female Cancer Patients
Manuscript Number: APN-D-15-00073R1
July 2015
• The Violence Prevention Community Meeting: A Multi-Site Study
Manuscript Number: APN-D-15-00182R1
December 2015
• Post-Traumatic Stress Disorder and Its Predictors Among Tibetan Adolescents 3 Years After
the High Altitude Earthquake in China
Manuscript Number: APN-D-14-00155R1
December 2015
• Longitudinal Linkages Between Post Traumatic Stress Disorder and Violent Behaviors Among
Chinese Adolescents Following the Wenchuan Earthquake
Manuscript Number: APN-D-16-0004
January 2016
• Contribution of Group Therapeutic Factors to the Outcome of Cognitive-Behavioral Therapy
for Patients with Panic Disorder
Manuscript Number: APN-D-16-00100
June 2016
__________________________Professional Memberships_____________________________
• National Association of Legal Nurse Consultants (NACLNC)
• Kentucky Colonel-Member #: 395673
• National Foundation for Cancer Research-Supporter #: 05349032L
• National Alliance on Mental Illness-Lexington, Kentucky Chapter
• The American Society for the Prevention of Cruelty to Animals (ASPCA)
• The Prostate Cancer Foundation
• Disabled American Veterans (DAV)
• Cleveland Clinic Lou Ruyo Center for Brain Health
• The Leukemia & Lymphoma Society
• National Law Enforcement Officers Memorial
• National Diabetes Fund (NDF)
• Arabian Rescue Mission for Horses
________________________Awards & Recognitions_________________________________
• International Nurses Association
New York, NY
2010
• Worldwide Leaders in Healthcare
“Top Nurse in Brooklyn”
April 2014
• New York 2014 Award Program
“Marriage, Family, Child, & Individual Counselors”
May 2014
• HonorSociety.org
New York, NY
May 2014
• Golden Key Society
University of Alabama, Tuscaloosa, AL
September 2014
• Archives of Psychiatric Nursing
Certificate of Outstanding Contribution in Reviewing
March 2015
• Worldwide Leaders in Healthcare
“Top Nurse in Lexington, Kentucky”
August 2015
_________________________Continuing Education Units (CEU’s)__________________________
• Models for Practice Change: Observing Risks of Re-Hospitalization by Choice of Disease
Cohorts: American Association of Colleges of Nursing (AACN)
• Civics Refresher for Student Policy Summit Attendees: (AACN)
• Kentucky HIV/AIDS Requirement for Healthcare Professionals (60019): Gannett Education
• Kentucky Required Pediatric Abusive Head Trauma (CE657): Gannett Education
• Kentucky Mandated Domestic Violence Training: Gannett Education
• New York Mandated Infection Control for Healthcare Professionals: Gannett Education
• Identifying and Reporting Child Abuse and Maltreatment in New York: Gannett Education
• American Heart Association Acute Stroke Online Course: Certificate #: SCIN72D6KEC3
• Violence and Families (60024): continuingEDUCATION.com
• Domestic Violence Awareness for Healthcare Professionals (60180):
continuingEDUCATION.com
• BLS for Healthcare Providers Online Part 1: Certificate Number: SCI409ETZ45N
• Heart Code ACLS Part 1: Certificate Number: SCI200Y692X2
• Overview of HB1 and Regulations: (6794-128166): University of Kentucky: 1.25 Credits
• How to Recognize Drug Abuse and Dependence in Patients: (6795-128166): U.K.: 1 Credit
• How to Discuss Drug Issues with a Patient: (6796-128166): University of Kentucky: 1 Credit
• An Update on KASPER-Post House Bill 1: (6797-128166): University of Kentucky: 1 Credit
• Opioid Therapy-Risks vs. Rewards: (6798-128166): University of Kentucky: 1 Credit
________________________________Graduate Coursework______________________________________
• Advanced Pathophysiology (NSC 834): Eastern Kentucky University-Grade B/3 Credits
• Advanced Health Assessment (NSC 832): Eastern Kentucky University: Grade B/3 Credits
• Advanced Pharmacology (NSC 830): Eastern Kentucky University: Grade B/3 Credits
• Nursing Theory (NSC 840): Eastern Kentucky University: Grade A/3 Credits
• Advanced Nursing Practice Issues (NSC 842): Eastern Kentucky University: Grade A/3 Cr.
• Research in rural Nursing (NSC 890): Eastern Kentucky University: Grade C/3 Credits
• Research Project (NSC 892): Eastern Kentucky University: Grade A/3 Credits
• Epidemiology and Risk Management (HBA 855): Eastern Kentucky University: Grade A/3
• Rural Health FNP I (NSC 870): Eastern Kentucky University: Grade C/3 Credits
• Success Strategies in MS Nursing (NURS 6000): Walden University: Grade A/1 Credits
• Linking Theory to Practice (NURS 6120): Walden University: Grade A/3 Credits
• Ethical and Legal Views (NURS 6140): Walden University: Grade A/3 Credits
• Understanding Healthcare Systems (NURS 6100): Walden University: Grade B/3 Credits
• The Nurse Leader: New Prospectives (NURS 6110): Walden University: Grade A/3 Credits
• Evidence-Based Practice (NURS 6130): Walden University: Grade A/3 Credits
• Promoting & Preserving Health (NURS 6150): Walden University: Grade A/3 Credits
• The Nurse Administrator (NURS 6200): Walden University: Grade A/4 Credits
• Healthcare Finance & Budget (NURS 6210): Walden University: Grade B/4 Credits
• Human Resources Management (NURS 6220): Walden University: Grade B/4 Credits
• Case Study: Quality Nursing (NURS 6230): Walden University: Grade A/4 Credits
• Synthesis Project (NURS 6500): Walden University: Grade A/3 Credits
• Synthesis Practicum (NURS 6510B): Walden University: Grade A/3 Credits
• Theoretical Basis of Advanced Practice Nursing (NUR 601): UK: Grade A/2 Credits
• Leadership in Advanced Practice Nursing (NUR 604): UK: Grade A/3 Credits
• Applications of Advanced Health Assessment (NUR 631): UK: Grade B/2 Credits
• Clinical Reasoning in Advanced Practice Nursing (NUR 603): UK: Grade A/3 Credits
• Research Methods in Advanced Practice Nursing (NUR 602): UK: Grade B/3 Credits
• Special Topics: Deviant Behavior: Women and Crime (SOC 730): UK: Grade B/3 Credits
• Clinical Topics: Advanced Practice Psychiatric Mental Health Nursing (NUR 722): UK: A/3
• Gathering, Analyzing, & Using Edual Data (EPE 557): UK: Grade B/3 Credits
• Advanced Practice Psychiatric Nursing I (NUR 723): UK: Grade A/6 Credits
• Comprehensive Patient Management I: Psych (NUR 632): UK: Grade A/2 Credits
• Advanced Practice Psychiatric Nursing II (NUR 724): UK: Grade A/4 Credits
• Evidence Based Nursing Practice (NUR 605): UK: Grade A/3 Credits
• Comprehensive Patient Management II: Psych (NUR 633): UK: Grade A/2 Credits
• Evidence Based Practice (NURSING 616): UMASS-BOSTON: Grade A/3 Credits
• Health Policy, Finance, & Ethics (NURSING 618): UMASS-BOSTON: Grade A/3 Credits
• Primary Care of Adults (NURSING 639): UMASS-BOSTON: Grade B+/3 Credits
• Primary Care of Older Adults (NURSING 671): UMASS-BOSTON: Grade B/3 Credits
• Primary Care of the Family II (NURSING 680): UMASS-BOSTON: Grade A/6 Credits
• Primary Care of Childbearing Family (NURSING 681): UMASS-BOSTON: Grade B/3 Cr.
• Quality Outcomes (NURSING 722): UMASS-BOSTON: Grade A/3 Credits
• Biostatistics (NURSING 760): UMASS-BOSTON: Grade A-/3 Credits
• DNP Internship I & II (NURSING 761 & 762): UMASS-BOSTON: S/1 Credit
• Health Systems Leadership (NURSING 765): UMASS-BOSTON: Grade A/3 Credits
• Advanced Health Assessment (NURSING 615): UMASS-BOSTON: Grade A/3 Credits
• Pharmacology for the Advanced Practice Nurse (NURSING 634): UMB: Grade B+/3 Credits
• Primary Care of the Family Capstone (NURSING 682): UMASS-BOSTON: Grade A:6 Cr.
• Primary Care of the Adult III (NURSING 672): UMASS-BOSTON: Grade A/6 Credits
• Mental and Psychosocial Health of the Family (NURSING 637): UMB: Grade A-/3 Credits
• Epidemiologic Methods (NURSING 780): UMASS-BOSTON: Grade B/3 Credits
• Health Informatics (NURSING 715): UMASS BOSTON: Grade___/3 credits
• Total Graduate Credits: 165
_______________________________________Languages Spoken___________________________________
• English
• Spanish
_________________________Psychiatric Mental Health Consulting Business_________________________
Day Family Psychiatry, LLC
3800 Nicholasville Rd., #6919
Lexington, KY 40503
Kentucky Organization Number: 0766349
Company ID: 0766349.06.99999
Profit or Non-Profit: For Profit Status
Company Type: KLC-Kentucky Limited Liability Company
Status: Active
File Date: July 06, 2010
SOS Annual Report Due: June 30, 2017 (www.sos.ky.gov)
Kentucky Annual Report/Form 725 Due: April 15, 2017 (http://revenue.ky.gov)
Principle Office: 3800 Nicholasville Road, #6919-Lexington, KY 40503
Federal Tax ID #: 46-4477603
__________________________________________Interests_______________________________________________
• Nursing Research & Advanced Nursing Practice (DNP/PhD)
• ADHD and Bi-Polar Co-Morbidities
• Psychiatry Independent Contracting
• Tele-Psychiatry
• Psychiatry & Primary Care Integration
• Medical Law/Paralegal Studies
• Certified Legal Nurse Consulting
• American Society for the Prevention and Cruelty to Animals (ASPCA)
• Lexington-Fayette County Humane Society
• Advancement for Men in Nursing
• LGBT Psychiatric Issues
• Substance Abuse Prevention and Care
• Pseudobulbar Affect (PBA) and other Neuropsychiatry Disorders
• Nuedexta for the treatment of PBA
• National Alliance on Mental Illness (NAMI)
• Implementation of Psychiatry Diagnostic Scales (PHQ-9, CNS-LS, etc.)
• Kentucky Colonels
• Kentucky Notary Public-State at large
• Complimentary Therapies (Massage, Acupuncture, Yoga, Pilates, etc.)
___________________________________Skills_______________________________________________
Technological
• Microsoft Word Processing • Power Point Presentations
• Electronic Documentation • Electronic Health Records
• E-mail • Apple MACs
• Internet Use • iOS Systems
• iPhone, iPad, iWatch •Microsoft Outlook
• Windows 10 • Web Page Design
• CPT Coding • ICD-10 Coding
• E-Prescribing • PolyCom Telephones
Clinical
• Medical Assessments • Psychiatric Assessments
• Clinical Diagnostics • Medication Management
• PCP Collaboration • Crisis Management
• IV/Injections •Psychiatric Triage
• Problem Resolution • Prior Authorizations
• Case Management • Quest Lab Retrieval
• Community Referrals • PHQ-9 Use
• Vanderbilt Assessments for ADHD • Connor Assessment for ADHD
• Beck Depression Scale • Hamilton Anxiety Scale (HAM-A)
• Columbia Suicide Scale (CSS) • CAGE Questionnaire
• Mini-Mental Evaluations • PDD Assessment and Care
________________________________Personal References__________________________________________
• Margaret Swales-CIT Vice President-New York, NY-(718) 406-2249
• Marilyn Sexton-Avanir Pharmaceutical Rep.-Louisville, KY-(502) 802-3327
• Chassidy Russell-Registered Nurse-Lexington, KY-(859) 619-3842
• Wanda Mendez-Registration Clerk-Lexington, KY-(859) 619-2616
• Mark Vasquez-IT Specialist-Ames, IA-(515) 296-1448
• Jean Lochray-Registered Nurse-Ames, IA-(515) 290-4710
• Melissa Grimes-Registration Clerk-Richmond, KY-(859) 285-4656
• Demerial George-CMA/BH Coordinator-Lexington, KY-(859) 803-4828
• Mary Ann Terry-Registered Nurse-Lexington, KY-(859) 797-8292
• Leslie Van Daniker-Pharmaceutical rep.-Lexington, KY-(859) 684-4785
• John Abner-Registered Nurse-Ohio-(859) 576-1339
• Doug Bailey-Financial Analyst-Pikeville, KY-(859) 454-2723
• Sandy Cockrell-MFA-Jersey City, NJ-(718) 721-1318
• Clay Cockrell-LCSW-Jersey City, NJ-(917) 685-8461
_____________________________Professional References__________________________________________
• Nathan Vorm-CEO-Integrated Telehealth Partners-Waterloo, IA-(515) 708-6464
• Doug Wilson-IT Specialist-ITP-Waterloo, IA-(515) 979-5460
• Matthew Grammer-CEO/LPCC-Louisville, KY-(502) 592-5041
• Stacey Burnett-APRN-Lexington, KY-(859) 494-4753
• Brent Rafferty-CEO-Lexington, KY-(859)229-9368
• Da’ Wilkinson-Patient Services Supervisor-Lexington, KY-(859) 229-7276
• Cecelia Nassif-APRN-Ames, IA-(515) 451-3069
• Beth Hellenbusch-LCSW-Lexington, KY-(859) 552-7545
• Shelagh Cassidy-LCSW-Lexington, KY-(606) 548-0442
• Kristi Carter-APRN-Lexington, KY-(859) 229-0680
• Marla Moore-Administrative Assistant-Lexington, KY-(859) 553-4387
• Terri Collins-COO, Registered Nurse-Lexington, KY-(859) 259-9687
• Tamara Williams-Registered Nurse-New York, NY-(718) 415-9782
• Tom Kearnes-LCSW-New York, NY-(917) 887-9111
• Soraya Martinez-LCSW-Connecticut-(860) 986-1287
• Joshua Zisholtz-LMSW-New York, NY-(310) 592-7584
• Noah Cass-LCSW-New York, NY-(917) 776-2339
• Dr. Karl Cirincione-Podiatrist-New York, NY-(718) 721-1318
• Dr. Derek Calhoun-APRN, DNP-Lexington, KY-(859) 559-9523
• Dr. Melanie Hardin-Pierce-APRN, DNP-Lexington, KY-(859) 323-5658
• Dr. Patricia Howard-APRN, PhD-Lexington, KY-(859) 323-5108
• Dr. Anna Stone-APRN, PhD-Louisville, KY-(502) 931-5958
• Dr. William Dake-Physician-Lexington, KY-(859) 509-4607
• Dr. Teresa Davies-Pediatrician-Lexington, KY-(859) 240-3896
• Dr. Sharon Rodrigue-Pediatrician-Lexington, KY-(859) 333-8234
• Dr. Neelakshi Upreti-Physician-Lexington, KY-(859) 312-5819
• Dr. Julie Ann Martin-Chiropractor-Lexington, KY-(859) 361-0330
• Dr. Fareesh Kanga-Psychiatrist-Lexington, KY-(859) 229-7128
• Dr. Deborah Stanley-Pediatrician-Lexington, KY-(859) 312-8649
• Dr. Carol Mitchell-Physician-Lexington, KY-(859) 494-5700
• Dr. Ashley Bowen-Pediatrician-Lexington, KY-(859) 312-3529
• Dr. Alina Rizea-Physician-Lexington, KY-(541) 297-2343
• Dr. Norma Dunn-Psychiatrist-New York, NY-(212) 423-6645
• Dr. John Shershow-Psychiatrist-New York, NY-(212) 265-4310
• Carl Markley, APRN-Ames, IA-(515) 290-1290
2010 - present
2010 - present