AMY P. FAIRCHILD (NPI# 1164512547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164512547 |
| Entity Type | Individual |
| Full Name | AMY P. FAIRCHILD |
| Credential | LPCC |
| Practice Address |
104 S Front Ave Prestonsburg KY 41653-1614 |
| Practice Telephone | 6068868572 |
| Practice Fax Number | 6068864433 |
| Mailing Telephone | 6068868572 |
| Mailing Fax Number | 6068864433 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
105679 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306116744 | Amy Elrod Fairchild | Nurse Practitioner | 205 Powell Pl, Suite 105, Brentwood, TN 37027-7522 | 2012-01-02 |
| 1871763003 | Amy Dawn Fairchild | Psychiatry & Neurology | 2000 Regency Pkwy, Suite 204, Cary, NC 27518-8506 | 2008-03-04 |
| Street Address |
104 S FRONT AVE |
| City | PRESTONSBURG |
| State | KY |
| Zip Code | 41653-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225020332 | Manmohan Pothuloori | Psychiatry & Neurology | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2005-08-16 |
| 1982203477 | Tiffany Gipson | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-26 |
| 1932708427 | Yvonne House | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-26 |
| 1649879529 | Kari Steele | Registered Nurse | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1730788712 | Megan Stansberry | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1235738238 | Ashley Blackburn | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1851990824 | Kelsey Sizemore | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1538768536 | Anthony Barrett | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1790384048 | Lakin Kirk | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-19 |
| 1568061976 | Shawna Edwards | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094670 | Commonwealth Community Care Centers, LLC | Obstetrics & Gynecology | 156 North Lake Drive, Prestonburg, KY 41653 | 2020-02-06 |
| 1336781152 | Toni Coleman | Counselor | 104 South Front Ave, Prestonsburg, KY 41653 | 2019-10-14 |
| 1063070043 | Beverly Jane Daniel | Nurse Practitioner | 5230-ky-321#8, Prestonsburg, KY 41653 | 2019-06-04 |
| 1760966519 | Mackenzie Alvarez | Counselor | 104 South Front Avenue, Prestonsburg, KY 41653 | 2018-09-18 |
| 1427409739 | Css Rehab Services | Early Intervention Provider Agency | 165 Ridgewood Drive, Prestonsburg, KY 41653 | 2016-06-28 |
| 1356745509 | Rosanna Mccoy | Counselor | 105 Trimble Chapel Square, Prestonsburg, KY 41653 | 2014-10-17 |
| 1770828766 | Mary Whitney Amburgey | Physical Therapist | 5000 Ky-321, Prestonsburg, KY 41653 | 2012-12-03 |
| 1750648168 | Cynthia Crase | Social Worker | 311 N Arnold Ave Ste 504, Prestonsburg, KY 41653 | 2012-04-23 |
| 1003107566 | Shane Hensley | Pharmacist | 152 Collins Circle, Prestonsburg, KY 41653 | 2011-05-02 |
| 1659607018 | Paul Michael Burchett | Pharmacist | 5291 Ky Rte 321, Prestonsburg, KY 41653 | 2009-10-20 |
| Find all providers in zip 41653 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781152 | Toni Coleman | Counselor | 104 South Front Ave, Prestonsburg, KY 41653 | 2019-10-14 |
| 1760966519 | Mackenzie Alvarez | Counselor | 104 South Front Avenue, Prestonsburg, KY 41653 | 2018-09-18 |
| 1437417813 | Sabrina Duncan | Counselor | 2290 Abbott Creek Rd, Prestonsburg, KY 41653-8934 | 2012-04-24 |
| 1376629923 | Anthony Eugene Davis | Counselor | 269 S Highland Ave, Prestonsburg, KY 41653-1909 | 2006-10-27 |
| 1881787463 | Johnny M States | Counselor | 5230 Kentucky Route 321, Suite 8, Prestonsburg, KY 41653 | 2006-10-02 |
| 1174637730 | Ronetta A. Tucker | Counselor | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2006-08-19 |
| 1982203477 | Tiffany Gipson | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-26 |
| 1790384048 | Lakin Kirk | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-19 |
| 1841899242 | Jennifer Damron | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-19 |
| 1790384063 | Rita Kirk | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-19 |
| Find all providers in PRESTONSBURG | ||||
| City | PRESTONSBURG |
| Zip Code | 41653 |
Please comment or provide details below to improve the information on AMY P. FAIRCHILD.
| 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.