Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Larry Wayne Childers

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1588553283

Larry Wayne Childers is a Nurse Practitioner in Cumberland, Kentucky. Qualified in 2025, 1 year ago. Practices with Ppl Therapeutic Services PLLC, a 31-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2025
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Practice location Address checks out

107 Eldridge Rd
Cumberland, KY 40823-1240
Phone: (606) 369-1717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4042781 (KY)

Record details

NPI number1588553283
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ppl Therapeutic Services Pllc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Ppl Therapeutic Services PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 31 clinicians in the practice; 12 are shown here.