PHILLIP CRUM (NPI# 1457995276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457995276 |
| Entity Type | Individual |
| Full Name | PHILLIP CRUM |
| Practice Address |
201 Mechanic St Lexington KY 40507-1086 |
| Practice Telephone | 8592330444 |
| Mailing Telephone | 8592330444 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | KY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1790731081 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235683830 | Phillip Crum | Dentist | 2581 Development Dr Ste 204, Bellevue, WI 54311-4248 | 2016-08-11 |
| Street Address |
201 MECHANIC ST |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40507-1086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417053927 | Jennifer Rice Howell | Social Worker | 201 Mechanic St, Lexington, KY 40507-1004 | 2006-09-15 |
| 1134753585 | Shelby Wells | Social Worker | 201 Mechanic St, Lexington, KY 40507-1086 | 2020-02-25 |
| 1306478045 | Benita Lynn Burton | Community Health Worker | 201 Mechanic St, Lexington, KY 40507-1086 | 2020-02-11 |
| 1548804362 | Shannyn L Drummond | Counselor | 201 Mechanic St, Lexington, KY 40507-1086 | 2019-11-05 |
| 1578083374 | Kaci Smith | Counselor | 201 Mechanic St, Lexington, KY 40507-1086 | 2017-06-22 |
| 1215457312 | Cara Stray | Social Worker | 201 Mechanic St, Lexington, KY 40507-1086 | 2017-06-21 |
| 1942720198 | Megan Fish | Registered Nurse | 201 Mechanic St, Lexington, KY 40507-1086 | 2017-06-20 |
| 1316473358 | Cristin Lesher | Counselor | 201 Mechanic St, Lexington, KY 40507-1086 | 2017-05-11 |
| 1588190946 | Kayla Linkous | Counselor | 201 Mechanic St, Lexington, KY 40507-1086 | 2017-05-04 |
| 1407396203 | Kimberly Shannon | Registered Nurse | 201 Mechanic St, Lexington, KY 40507-1086 | 2017-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366929077 | Melanie Dailey | Acupuncturist | 465 E High St Ste 208a, Lexington, KY 40507 | 2018-07-25 |
| 1376030262 | Revive Ministries, Inc | Substance Abuse Rehabilitation Facility | 185 Elm Tree Ln, Lexington, KY 40507 | 2018-04-17 |
| 1255788089 | Milagros Velazquez | Counselor | 201 Mechanic St., Lexington, KY 40507 | 2016-05-23 |
| 1326293788 | Kim Michelle Thompson | Family Medicine | 217 Elm Tree Lane, Polk Dalton Clinic, Lexington, KY 40507 | 2008-11-25 |
| 1932389293 | Lexington Fayette County Health Department | Public Health or Welfare | 161 Bruce St, Lexington, KY 40507 | 2007-11-05 |
| 1508983800 | Sandra Ann Thomas | Pharmacist | 401 West Main Street, Hutchinson Drugstore, Lexington, KY 40507 | 2007-03-23 |
| 1508823857 | Lexington Fayette Urban Co Government | Ambulance | 219 E Third St, Lexington, KY 40507 | 2006-04-28 |
| 1194254458 | Ashley Armstrong | Social Worker | 201 Mechanic St., Lexington, KY 40507 | 2017-06-08 |
| 1003355942 | Nancy Elaine Garth | Registered Nurse | 217 Elm Tree Lane, Uk Healthcare Polk-dalton Clinic, Lexington, KY 40507 | 2017-02-13 |
| 1760775829 | Julie Anne Bowers-pryor | Counselor | 217 Elm Tree Ln, Lexington, KY 40507 | 2011-05-24 |
| Find all providers in zip 40507 | ||||
| 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 |
|---|---|---|---|---|
| 1831612027 | Natasha Lacey | Peer Specialist | 1099 S Broadway Ste 220, Lexington, KY 40504-2663 | 2017-07-19 |
| 1972119204 | Kristina Marie Keller | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-09-22 |
| 1952917288 | Krisitn Renee Wilson | Peer Specialist | 1351 Newtown Pike Bldg 3, Lexington, KY 40511-1278 | 2020-09-22 |
| 1114532025 | Stephanie Niccole Haydon | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-09-09 |
| 1558970368 | Crystal P Brown | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-07-28 |
| 1639788441 | Samantha Lee Riddell | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-07-28 |
| 1093332629 | Gabriel Allen Upchurch | Peer Specialist | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-06-30 |
| 1548885742 | Sarah Elizabeth Neal | Peer Specialist | 120 Chrysalis Ct, Lexington, KY 40508-2618 | 2020-06-12 |
| 1215551684 | James Phillip Luallen | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-06-02 |
| 1699398214 | Christin Hungate | Peer Specialist | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-05-19 |
| 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.