JORDAN DANIEL (NPI# 1457705048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457705048 |
Entity Type | Individual |
Full Name | JORDAN DANIEL |
Practice Address |
608 Happy Valley Rd Glasgow KY 42141-1561 |
Practice Telephone | 2709015000 |
Practice Fax Number | 2708425268 |
Mailing Telephone | 2709015000 |
Mailing Fax Number | 2708425268 |
Enumeration Date | 2016-04-20 |
Last Update Date | 2016-04-20 |
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 |
---|---|---|---|---|
1578904017 | Jordan Thomas Daniel | Pharmacist | 1 Cvs Dr, Woonsocket, RI 02895-6146 | 2013-07-12 |
Street Address |
608 HAPPY VALLEY RD |
City | GLASGOW |
State | KY |
Zip Code | 42141-1561 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346272044 | Tonya Ballard | Social Worker | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2006-07-06 |
1912504291 | Kendall Miller | Rehabilitation Counselor | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2020-10-08 |
1548872088 | Abigail Thaden | Rehabilitation Counselor | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2020-08-17 |
1154959195 | Mary Alesha Maynard | Social Worker | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2020-03-27 |
1255993184 | Kayce Fields | Social Worker | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2019-07-01 |
1174038293 | Stefany Vaughn-mack | Counselor | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2017-12-12 |
1356855969 | Joann Resner | Behavioral Analyst | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2017-11-20 |
1245740497 | Holli Parys | Social Worker | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2017-10-02 |
1174049787 | Sarah Grace Slaughter Harper | Counselor | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2017-08-15 |
1003338120 | Lauren Ollery | Social Worker | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2017-07-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710505912 | Adriene Elizabeth Wilson | Nurse Practitioner | 310 N. L. Rogers Blvd., Glasgow, KY 42141 | 2020-07-14 |
1649896648 | Katrina Antonette Casanova Tinoco | Student in an Organized Health Care Education/Training Program | 1325 North Race St., University of Louisville/glasgow, Glasgow, KY 42141 | 2020-06-25 |
1245744630 | Town and Country Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 742a East Main Street, Glasgow, KY 42141 | 2017-11-22 |
1821413022 | Russell England | Nurse Practitioner | 370 Beaver Mound Circle, Glasgow, KY 42141 | 2014-02-25 |
1447507439 | Rehabcare | Skilled Nursing Facility | 109homewoodblvd, Glasgow, KY 42141 | 2012-08-08 |
1578847778 | Alexander Kwadwo Somuah | Pharmacist | 1001 W. Main St, Glasgow, KY 42141 | 2011-10-06 |
1518240522 | William David Wiley | Pharmacist | 1001 West Main St., Glasgow, KS 42141 | 2011-09-26 |
1003121732 | Teresa Katherine Essex | Speech-Language Pathologist | 341 Ginger Rd, Glasgow, KY 42141 | 2010-08-18 |
1396915468 | R David Fant Md Psc | Pediatrics | 1407 North Race St, Glasgow, KY 42141 | 2008-03-05 |
1003021957 | Eddy Joe Newberry II | Dentist | 400 S. Broadway, Glasgow, KY 42141 | 2007-05-14 |
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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 |
---|---|---|---|---|
1528435468 | Shelby Garner | Peer Specialist | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2015-08-26 |
1821477423 | Sarah Huffman | Peer Specialist | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2015-05-28 |
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 |
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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.