MRS. JESSE LEE STILLER (NPI# 1275865719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275865719 |
| Entity Type | Individual |
| Full Name | MRS. JESSE LEE STILLER |
| Credential | CIT |
| Practice Address |
6555 Abercorn St St 129 Savannah GA 31405-5713 |
| Mailing Address |
409 Maupas Ave Apt 1 Savannah GA 31401-9160 |
| Practice Telephone | 9123351699 |
| Practice Fax Number | 9126558716 |
| Mailing Telephone | 9123351699 |
| Mailing Fax Number | 9123351352 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2017-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
6555 ABERCORN ST ST 129 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356354054 | Linda Poppell-smith | Speech-Language Pathologist | 6555 Abercorn St, Ste 221, Savannah, GA 31405-5714 | 2006-08-14 |
| 1063959344 | Felicia Smith | Counselor | 6555 Abercorn St, Suite 129, Savannah, GA 31405-5713 | 2017-01-25 |
| 1215473129 | Samantha Campbell | Counselor | 6555 Abercorn St, Suite 129, Savannah, GA 31405-5713 | 2017-01-17 |
| 1356887129 | Melissa Pierce | Licensed Practical Nurse | 6555 Abercorn St, Savannah, GA 31405-5713 | 2017-01-17 |
| 1568908531 | Soleil O'neal-schulman | Counselor | 6555 Abercorn St, Savannah, GA 31405-5713 | 2017-01-13 |
| 1477099448 | Samir J Thomas-twilley | Counselor | 6555 Abercorn St, Suite 129, Savannah, GA 31405-5713 | 2017-01-13 |
| 1376089342 | Angela Head | Licensed Practical Nurse | 6555 Abercorn St, Suite 129, Savannah, GA 31405-5713 | 2017-01-13 |
| 1821534892 | Joan R Scarpitti | Licensed Practical Nurse | 6555 Abercorn St, Suite 129, Savannah, GA 31405-5713 | 2017-01-13 |
| 1790221711 | Brett Samuel Hall | Pharmacist | 6555 Abercorn St, Savannah, GA 31405-5713 | 2017-01-13 |
| 1871907535 | Denise Michelle Black | Counselor | 6555 Abercorn St, Suite 221, Savannah, GA 31405-5713 | 2014-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122564 | Kenisha Michelle Crapp | Counselor | 168 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-04 |
| 1568002871 | Jamie Hoff | Counselor | 125 Park of Commerce Dr Ste 200, Savannah, GA 31405-7488 | 2020-01-14 |
| 1164079208 | Leon Fleminng | Counselor | 19 River Oaks Rd, Savannah, GA 31410-1522 | 2019-08-22 |
| 1033678446 | Charity Carla Collier | Counselor | 145b Southern Blvd Ste B, Savannah, GA 31405-7416 | 2019-03-15 |
| 1558844316 | Assurance Life Learning Center LLC | Counselor | 1543 Cloverdale Dr, Savannah, GA 31415-7892 | 2018-09-07 |
| 1992234645 | Maria Mitchell | Counselor | 145 Southern Blvd Ste B, Savannah, GA 31405-7457 | 2017-06-07 |
| 1336674779 | Jamie Lecount | Counselor | 106 Sandlewood Dr, Savannah, GA 31405-2765 | 2017-04-24 |
| 1013453083 | Travis Morey | Counselor | 6555 Abercorn St Ste 129, Savannah, GA 31405-5723 | 2017-01-13 |
| 1891101663 | Nanette Brownlee | Counselor | 12409 Largo Dr, Savannah, GA 31419-2031 | 2014-07-01 |
| 1366881641 | D Ray Gaskin Jr Md LLC | Counselor | 315 Commercial Dr Ste B3, Savannah, GA 31406-3631 | 2013-06-19 |
| Find all providers in SAVANNAH | ||||
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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.