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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
1589 HILL RISE DR |
City | LEXINGTON |
State | KY |
Zip Code | 40504-2588 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 40504 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
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.