MR. ADAM LEE DESHONG (NPI# 1093345977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093345977 |
| Entity Type | Individual |
| Full Name | MR. ADAM LEE DESHONG |
| Credential | APRN |
| Practice Address |
234 Brenwood St Berea KY 40403-1637 |
| Mailing Address |
614 Augusta Dr Richmond KY 40475-7887 |
| Practice Telephone | 8599850302 |
| Mailing Telephone | 4197756907 |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3014212 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
234 BRENWOOD ST |
| City | BEREA |
| State | KY |
| Zip Code | 40403-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144216235 | Darwin Patrick Whitaker | Physician Assistant | 234 Brenwood St, Berea, KY 40403-1637 | 2005-09-23 |
| 1982144143 | Kristin Morgan | Nurse Practitioner | 234 Brenwood St, Berea, KY 40403-1637 | 2017-03-06 |
| 1790134948 | Charles King | Nurse Practitioner | 234 Brenwood St, Berea, KY 40403-1637 | 2016-06-08 |
| 1083812598 | Nawar Soda | Family Medicine | 234 Brenwood St, Berea, KY 40403-1637 | 2007-07-05 |
| 1912054792 | Berea Urgent Care LLC | Clinic/Center | 234 Brenwood St, Berea, KY 40403-1637 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073096616 | Stephanie Jane Warren | Nurse Practitioner | 245 Prince Royal Dr Ste A, Berea, KY 40403-1471 | 2018-09-10 |
| 1366934853 | Brandi Lenay Botkin | Nurse Practitioner | 319 Bocote Dr, Berea, KY 40403-9584 | 2018-05-31 |
| 1184091563 | Tara Mcclure | Nurse Practitioner | 109 Slippery Rock Ln, Berea, OH 44017-3159 | 2015-09-01 |
| 1841507456 | Stephanie Diane Ferrell | Nurse Practitioner | 295 Paint Lick Rd, Berea, KY 40403-8078 | 2010-09-02 |
| 1902423429 | Sheryl Christine Aponte | Nurse Practitioner | 570 N Rocky River Dr, Berea, OH 44017-1613 | 2020-06-30 |
| 1104393925 | Rebecca Brandenburg | Nurse Practitioner | 305 Estill St, Berea, KY 40403-1742 | 2018-10-30 |
| 1831600352 | Heather Whalen | Nurse Practitioner | 120 Jill Dr, Berea, KY 40403-1677 | 2017-10-24 |
| 1053847608 | Ciara Pruitt | Nurse Practitioner | 255 Front St, Berea, OH 44017-1943 | 2017-05-02 |
| 1982144143 | Kristin Morgan | Nurse Practitioner | 234 Brenwood St, Berea, KY 40403-1637 | 2017-03-06 |
| 1790134948 | Charles King | Nurse Practitioner | 234 Brenwood St, Berea, KY 40403-1637 | 2016-06-08 |
| Find all providers in BEREA | ||||
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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.