JAY DEITERS (NPI# 1104207042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104207042 |
| Entity Type | Individual |
| Full Name | JAY DEITERS |
| Practice Address |
1101 Veterans Dr Lexington KY 40502-2235 |
| Practice Telephone | 8592334511 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSYPST00213906 | KY | Behavioral Health & Social Service Providers |
| Street Address |
1101 VETERANS DR |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40502-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548266026 | Jon Stanley Demos | Urology | 1101 Veterans Dr, Rm A509a-cdd, Lexington, KY 40502-2235 | 2005-06-21 |
| 1679199343 | Heath Allyn Mclean | Pharmacist | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2020-06-18 |
| 1932722683 | Steven Shofner | Pharmacist | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2020-05-28 |
| 1437779659 | Elizabeth Lancaster | Nurse's Aide | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2020-04-17 |
| 1275172330 | Makayla Dawn Wiles | Pharmacist | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2020-01-06 |
| 1710526710 | Matthew Hellman | Pharmacist | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2019-12-23 |
| 1346888617 | Jacob Matano | Pharmacist | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2019-12-17 |
| 1316581085 | David Strunk | Pharmacist | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2019-11-05 |
| 1396386314 | April Renee Stevenson | Social Worker | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2019-10-01 |
| 1861043614 | Michelle Lee Bayan | Rehabilitation Counselor | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2019-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213761 | Justin Waldo | Social Worker | Lexington Va Medical Center, 1101 Veteran's Drive, Lexington, KY 40502 | 2020-01-06 |
| 1275187569 | Lorraine Wiley | Specialist/Technologist | 712 Sports Center Dr, Lexington, KY 40502 | 2019-07-25 |
| 1013560952 | Erica Keller Musgrave | Speech-Language Pathologist | 882 Mcmeekin Pl, Lexington, KY 40502 | 2019-07-19 |
| 1174029078 | Michael Bryan Mullen | Otolaryngology | 358 Duke Rd, Lexington, KY 40502 | 2018-04-01 |
| 1346740644 | Susan R Castle | Physical Therapist | 710 East Main Street, Lexington, KY 40502 | 2018-02-14 |
| 1689187684 | Lynn Kathryn Marsh Bryant | Speech-Language Pathologist | 120 Kentucky Avenue, Suite 110 Lexington, Lexington, KY 40502 | 2017-11-13 |
| 1215440888 | Ryan Mcnamara | Specialist/Technologist | 277 Sports Center Drive, Lexington, KY 40502 | 2017-11-06 |
| 1336667690 | Anthony Shawn Prater | Physical Therapist | 710 E. Main St., Lexington, KY 40502 | 2017-09-06 |
| 1568989002 | Lucie Thurman | Counselor | 1109 Richmond Rd., Lexington, KY 40502 | 2017-08-25 |
| 1548700867 | Ann Elizabeth Boone | Massage Therapist | 2121 Richmond Road, Suite 228, Lexington, KY 40502 | 2017-03-06 |
| Find all providers in zip 40502 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775566 | Vora Onique Blake | Psychologist | 305 Lindenhurst Dr Apt 8201, Lexington, KY 40509-1369 | 2020-06-24 |
| 1760049472 | Donald August Kleine-kracht | Psychologist | 106 Frazee Hall, Lexington, KY 40506-0001 | 2019-05-29 |
| 1194205955 | Rae Lyn Glover | Psychologist | 651 Longview Dr, Lexington, KY 40503-1709 | 2018-08-20 |
| 1669982328 | Clarity Counseling Services, Psc | Psychologist | 620 Euclid Ave Ste 203, Lexington, KY 40502-6429 | 2017-10-09 |
| 1962866368 | Angela Aaron | Psychologist | 3085 Maddie Ln, Lexington, KY 40511-8951 | 2016-04-12 |
| 1427318807 | Keisha M Love | Psychologist | 2220 Executive Dr, Suite 103, Lexington, KY 40505-4870 | 2012-05-20 |
| 1720370406 | Rita Kae Conger | Psychologist | 16161 Moffat Road, Lexington, OK 73051 | 2011-05-12 |
| 1245486745 | Nathan Jarvis Miles | Psychologist | 620 E Euclid Ave Ste 203, Lexington, KY 40502-6429 | 2008-08-15 |
| 1851589725 | Gerson, Inc | Psychologist | 12 Clematis Rd, Lexington, MA 02421-7117 | 2007-10-04 |
| 1184773665 | Charlotte R Melcher | Psychologist | 704 Spring Meadows Dr, Suite A, Lexington, KY 40504-3624 | 2007-01-10 |
| Find all providers in LEXINGTON | ||||
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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.