MISS JESSICA SHANNON WHITE


Address: 1589 Hill Rise Dr, Lexington, KY 40504-2588
Phone: 8599772525

MISS JESSICA SHANNON WHITE (NPI# 1306291851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306291851
Entity Type Individual
Full Name MISS JESSICA SHANNON WHITE
Credential CADC
Practice Address 1589 Hill Rise Dr
Lexington
KY 40504-2588
Practice Telephone 8599772525
Practice Fax Number 8592339231
Mailing Telephone 8599772525
Mailing Fax Number 8592339231
Enumeration Date 2016-05-03
Last Update Date 2017-03-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
164582 KY Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
ADCADC00225693 KY Behavioral Health & Social Service Providers
N 175T00000X Peer Specialist KY Other Service Providers

Other Providers JESSICA WHITE

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1154948495 Jessica Rae White Social Worker 4501 S 2nd St, Austin, TX 78745-1950 2020-07-02
1811524135 Jessica White Nurse Practitioner 1805 Indian Lodge Dr, Cedar Park, TX 78613-2470 2020-03-25
1962040659 Jessica Lynn White Licensed Practical Nurse 187 Conneaut Lake Rd, Greenville, PA 16125-9430 2019-12-13
1164078796 Jessica White Nurse Practitioner 52 Community Ln, South Hero, VT 05486-4418 2019-08-09
1891253225 Jessica L White Case Manager/Care Coordinator 600 Arthur St # A, Knoxville, TN 37921-6405 2019-03-05
1104391465 Jessica Kailee White Nurse Practitioner 5331 Cordgrass Bend Ln, Port Orange, FL 32128-3000 2018-10-12
1659877579 Jessica Judith White Student in an Organized Health Care Education/Training Program 101 Lovell Ln Sw, Rome, GA 30165-3631 2018-03-30
1003341363 Jessica L White Behavioral Analyst 3501 W Algonquin Rd, 210, Rolling Meadows, IL 60008 2017-04-25
1851837041 Jessica White Counselor 727 Grafton Ave, Dayton, OH 45406-5256 2017-01-11
1760933774 Jessica White Speech-Language Pathologist 5125 N Sycamore Dr, Kansas City, MO 64119-4207 2016-10-14

Office Location

Street Address 1589 HILL RISE DR
City LEXINGTON
State KY
Zip Code 40504-2588

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598815086 Marti S Burton Psychologist 1589 Hill Rise Dr, Lexington, KY 40504-2588 2007-01-10
1174189112 Destinee Ellen Austin Social Worker 1589 Hill Rise Dr, Lexington, KY 40504-2588 2019-05-15
1487144184 Justin Davis Counselor 1589 Hill Rise Dr, Lexington, KY 40504-2588 2018-05-17
1255843512 Michelle Lyons Peer Specialist 1589 Hill Rise Dr, Lexington, KY 40504-2588 2017-10-26
1134660673 Tabetha Maria Lamb Peer Specialist 1589 Hill Rise Dr, Lexington, KY 40504-2588 2017-03-16
1700327517 Bernadine Givens-andrew Peer Specialist 1589 Hill Rise Dr, Lexington, KY 40504-2588 2017-03-13
1073053369 Adrienna Adkins Peer Specialist 1589 Hill Rise Dr, Lexington, KY 40504-2588 2017-03-06
1285174755 Karen Mcclain Peer Specialist 1589 Hill Rise Dr, Lexington, KY 40504-2588 2017-03-03
1760836860 Susan Ricalton Sanders Registered Nurse 1589 Hill Rise Dr, Lexington, KY 40504-2588 2016-04-15
1902262397 Tammy Lynn Stevens Counselor 1589 Hill Rise Dr, Lexington, KY 40504 2016-01-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740809953 Michael Jason Blocker Registered Nurse 1 St Hoseph Drive, Lexington, KY 40504 2020-04-09
1841842010 Jessica Brooke Castleberry Counselor Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 2019-07-09
1528554474 Hillcrest Pain & Spine Pllc Pain Medicine 853 Lane Allen Rd Ste 217, Lexington, KY 40504 2018-07-03
1366962474 Jessica Hope King Dentist 1330 Harrodsburg Road, Lexington, KY 40504 2017-06-21
1255861076 Mary Elizabeth Bailey Dentist 1330 Harrodsburg Rd, Lexington, KY 40504 2017-06-14
1295172211 Alan Kidon Podiatrist 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 2013-05-31
1578847554 Linda W Mcdaniel Pharmacist 2181 Harrodsburg Road, Lexington, KY 40504 2011-10-07
1578844197 Amber Kincaid Ballard Nurse Practitioner Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 2011-09-09
1104118124 Harry W Tenfelde IIi Pharmacist 2284 Versailles Rd., Lexington, KY 40504 2011-05-10
1831495506 Horizon Headache Center, Pllc Physical Therapist 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 2011-01-28
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285252080 Shamara Huguely Counselor 455 Park Pl # 130, Lexington, KY 40511-1881 2020-07-08
1396373304 Serenity Keepers Counselor 2033 Daniel Ct Apt 1, Lexington, KY 40504-1837 2020-03-27
1205482619 Laura K. Wampler Counselor 423 Woodsway Dr, Lexington, NC 27292-4655 2019-08-12
1033677505 Alyssa May Tremblay Counselor 389 Waller Ave Fl 2, Lexington, KY 40504-2900 2019-03-04
1992278915 Amy H Ward Counselor 1382 Bull Lea Road, Lexington, KY 40511 2019-01-03
1447745922 Christopher Todd Cox Counselor 149 Deweese St, Lexington, KY 40507-1925 2018-06-26
1023503919 Kimberly Kelly Counselor 1382 Bull Lea Rd, Lexington, KY 40511-1247 2018-06-25
1528566114 Alteri, LLC Counselor 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 2018-01-29
1700390218 Courtney Nicole Shields Counselor 201 Mechanic St Fl 1, Lexington, KY 40507-1086 2017-11-20
1982134409 Amy Beth Powers Counselor 455 Park Place, Suite 130, Lexington, KY 40511 2017-06-18
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Competitor

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City LEXINGTON
Zip Code 40504

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Dataset Information

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.

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