REBECCA FOUNTAIN (NPI# 1063902849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063902849 |
| Entity Type | Individual |
| Full Name | REBECCA FOUNTAIN |
| Credential | LPA |
| Practice Address |
425 Broadway St Paducah KY 42001-0713 |
| Mailing Address |
1640 Jefferson St Apt 203 Paducah KY 42001-2721 |
| Practice Telephone | 2704429767 |
| Mailing Telephone | 2705599547 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
174287 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043756950 | Rebecca Fountain | Dentist | 3494 Eagle Blvd, Brighton, CO 80601 | 2017-01-17 |
| Street Address |
425 BROADWAY ST |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-0713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003809997 | Duncan Edward Darnell | Psychiatry & Neurology | 425 Broadway St, Paducah, KY 42001-0713 | 2005-08-25 |
| 1649871187 | Alexandria Nicole Dicke | Registered Nurse | 425 Broadway St, Paducah, KY 42001-0713 | 2020-11-02 |
| 1790382745 | Shelby A Buechlein | Social Worker | 425 Broadway St, Paducah, KY 42001-0713 | 2020-10-02 |
| 1841816428 | Breanne Ashby | Social Worker | 425 Broadway St, Paducah, KY 42001-0713 | 2020-06-19 |
| 1265069934 | Jennifer Elizabeth James | Case Management | 425 Broadway St, Paducah, KY 42001-0713 | 2020-03-24 |
| 1356976369 | Olivia Swadley | Social Worker | 425 Broadway St, Paducah, KY 42001-0713 | 2020-03-10 |
| 1013548825 | Quinn Lambert | Counselor | 425 Broadway St, Paducah, KY 42001-0713 | 2020-01-30 |
| 1659902955 | Kimberly B Vigil | Developmental Therapist | 425 Broadway St, Paducah, KY 42001-0713 | 2020-01-27 |
| 1578102190 | Wendy Susan Lovett | Case Manager/Care Coordinator | 425 Broadway St, Paducah, KY 42001-0713 | 2019-12-30 |
| 1215576830 | Morgan Nicole Jackson | Social Worker | 425 Broadway St, Paducah, KY 42001-0713 | 2019-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1659537173 | Angela M. Fiorita-day | Psychologist | 131 Nahm St Ste 2, Paducah, KY 42001-4362 | 2008-08-04 |
| 1700086428 | Emily Brame Thomas | Psychologist | 225 Medical Center Dr Ste 304, Paducah, KY 42003-7915 | 2007-07-20 |
| 1528281565 | Elmer C Maggard | Psychologist | 2500 Holt Rd, Paducah, KY 42001-8661 | 2007-04-10 |
| 1346266442 | Aloha Cristina Romay | Psychologist | 2204 Kentucky Ave, Paducah, KY 42003-3242 | 2006-07-14 |
| 1568462455 | Patrick T Harris | Psychologist | 100 Fountain Avenue, Suite 301, Paducah, KY 42001-2774 | 2005-07-21 |
| 1699245514 | Brooke Regina Jacobs | Psychologist | 548 Lone Oak Rd, Paducah, KY 42003-4538 | 2018-12-04 |
| 1770034605 | Joy Navan | Psychologist | 1700 Kentucky Ave, Paducah, KY 42003-7705 | 2016-10-15 |
| 1225445828 | Heather Losser | Psychologist | 425 Broadway St, Paducah, KY 42001-0713 | 2014-07-15 |
| 1518371228 | Sherry Bone | Psychologist | 4630 Village Square Dr, Paducah, KY 42001-7502 | 2014-06-20 |
| Find all providers in PADUCAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.