GLENN WEST (NPI# 1285163550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285163550 |
| Entity Type | Individual |
| Full Name | GLENN WEST |
| Practice Address |
512 Veterans Memorial Hwy Scottsvill KY 42164-8303 |
| Mailing Address |
512 Veterans Memorial Hwy Scottsville KY 42164-8303 |
| Practice Telephone | (270) 901-5000 |
| Practice Fax Number | 2708425268 |
| Mailing Telephone | 2709015000 |
| Mailing Fax Number | 2708425268 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564723 | Glenn Louis West | Technician | 2792 Midland Trail, Boomer, WV 25031 | 2020-10-01 |
| 1013344142 | Glenn West IIi | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2013-10-03 |
| Street Address |
512 VETERANS MEMORIAL HWY |
| City | SCOTTSVILL |
| State | KY |
| Zip Code | 42164-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490790 | Jerry Moore Scott | Technician | 6184 Old Glasgow Rd, Scottsville, KY 42164 | 2019-10-30 |
| 1457697146 | Southern Medical Supply | Durable Medical Equipment & Medical Supplies | 625 Kentucky 980, Scottsville, KY 42164 | 2012-12-27 |
| 1649336348 | Carpenter Dent Drugs Inc | Durable Medical Equipment & Medical Supplies | 1088 Veterans Memorial, Scottsville, KY 42164 | 2006-12-28 |
| 1548334105 | Ann Marie Davis | Dentist | 306 B North Court Street, Scottsville, KY 42164 | 2006-11-17 |
| 1194897959 | Angel Faye Duncan | Developmental Therapist | 147 Homestead Court, Scottsville, KY 42164 | 2006-11-15 |
| 1619517893 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 1545 Bowling Green Rd Rm 803, Bowling Green, KY 42164 | 2020-01-15 |
| 1760043129 | Paige Jordan Flora | Rehabilitation Counselor | 512 Bowling Green Rd, Scottsville, KY 42164 | 2019-06-26 |
| 1427292531 | Hilltop Family Dental Care, Psc | Dentist | 1046 Veterans Memorial Highway, Scottsville, KY 42164 | 2009-04-21 |
| 1700989217 | Bowling Green Warren County Community Hospital Corporation | General Acute Care Hospital | 456 Burnley Rd, Scottsville, KY 42164 | 2006-09-07 |
| 1063969582 | Heather Shepherd | Social Worker | 512 Bowling Green Rd, Scottsville, KY 42164-0512 | 2016-09-01 |
| Find all providers in zip 42164 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
| 1881291672 | W I N G S Community Support & Recovery Services | Peer Specialist | 401 N Miles St # B101, Elizabethtown, KY 42701-1834 | 2020-10-05 |
| 1881204212 | Kada Essig | Peer Specialist | 308 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-07-31 |
| 1427671957 | Barbara K Collier | Peer Specialist | 205 Mercer St, Elizabethtown, KY 42701-2731 | 2020-05-19 |
| 1316566813 | Sarah Clarkson Goff | Peer Specialist | 2655 Bardstown Rd, St Catharine, KY 40061 | 2020-04-14 |
| 1497383715 | Lawerence E Pickett | Peer Specialist | 537 Bellwood Dr, Elizabethtown, KY 42701-2336 | 2020-03-31 |
| 1326676578 | April Roann Robertson | Peer Specialist | 207 Hillcrest Dr, Elizabethtown, KY 42701-1719 | 2020-03-31 |
| 1053949370 | Brad Williamson | Peer Specialist | 535 Bellwood Dr Apt 1, Elizabethtown, KY 42701-2335 | 2020-03-31 |
| 1730717000 | Carolyn M Vance | Peer Specialist | 537 Bellwood Dr Apt 1, Elizabethtown, KY 42701-2336 | 2020-03-31 |
| 1083242697 | Chelsea Blair | Peer Specialist | 413 E Dixie Ave, Elizabethtown, KY 42701-1162 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSVILL |
| Zip Code | 42164 |
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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.