PAULA SHAFFER (NPI# 1558912055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558912055 |
| Entity Type | Individual |
| Full Name | PAULA SHAFFER |
| Practice Address |
290 Burley Ave Hopkinsville KY 42240-8725 |
| Mailing Address |
Po Box 614 Hopkinsville KY 42241-0614 |
| Practice Telephone | 2707072098 |
| Practice Fax Number | 2707072099 |
| Mailing Telephone | 2708862205 |
| Mailing Fax Number | 2708860392 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| 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 |
|---|---|---|---|---|
| 1902151699 | Paula Kay Shaffer | Pharmacist | 201 N Washington Avenue, Ketchum, ID 83340 | 2012-07-18 |
| 1962750232 | Paula L Shaffer | Acupuncturist | 13410 Clarksville Pike, Highland, MD 20777-9537 | 2012-08-16 |
| Street Address |
290 BURLEY AVE |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-8725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457897233 | Yvette Smith | Counselor | 290 Burley Ave, Hopkinsville, KY 42240-8725 | 2017-01-17 |
| 1780219865 | Victoria Tarpley | Peer Specialist | 290 Burley Ave, Hopkinsville, KY 42240-8725 | 2020-03-09 |
| 1013558337 | Meredith Ezell | Peer Specialist | 290 Burley Ave, Hopkinsville, KY 42240-8725 | 2019-10-08 |
| 1336790245 | Christina Sue Link | Student in an Organized Health Care Education/Training Program | 290 Burley Ave, Hopkinsville, KY 42240-8725 | 2019-09-23 |
| 1912497132 | Allison Ann Bivins | Social Worker | 290 Burley Ave, Hopkinsville, KY 42240-8725 | 2018-05-14 |
| 1407356975 | Rachel Sanders | Social Worker | 290 Burley Ave, Hopkinsville, KY 42240 | 2018-02-20 |
| 1609375013 | Lisa Michele Thomas | Registered Nurse | 290 Burley Ave, Hopkinsville, KY 42240-8725 | 2018-02-12 |
| 1467982660 | Sherry Kaye Newton | Counselor | 290 Burley Ave, Hopkinsville, KY 42240 | 2017-06-20 |
| 1003349184 | Chelsey Earnest Mcallister | Counselor | 290 Burley Ave, Hopkinsville, KY 42240-8725 | 2017-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| 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 |
|---|---|---|---|---|
| 1063048213 | Linda Kuhlenbeck | Peer Specialist | 737a North Dr, Hopkinsville, KY 42240-2620 | 2020-03-19 |
| 1780219865 | Victoria Tarpley | Peer Specialist | 290 Burley Ave, Hopkinsville, KY 42240-8725 | 2020-03-09 |
| 1134754690 | Nathan Ragsdale | Peer Specialist | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8095 | 2020-03-05 |
| 1881229383 | Timothy Hendricks | Peer Specialist | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8095 | 2020-03-05 |
| 1669017216 | Rocky Trusty | Peer Specialist | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8725 | 2019-11-07 |
| 1689215915 | David Fontaine | Peer Specialist | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2019-10-08 |
| 1013558337 | Meredith Ezell | Peer Specialist | 290 Burley Ave, Hopkinsville, KY 42240-8725 | 2019-10-08 |
| 1043851470 | Julianna Dejesus | Peer Specialist | 100 Trilogy Ave, Hopkinsville, KY 42240-5329 | 2019-10-07 |
| 1548811557 | Glenn Edwin Childress | Peer Specialist | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2019-09-23 |
| 1467002014 | Brittany Irene Haney | Peer Specialist | 607 Hammond Plz, Hopkinsville, KY 42240-4971 | 2019-09-16 |
| Find all providers in HOPKINSVILLE | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
Please comment or provide details below to improve the information on PAULA SHAFFER.
| 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.