MRS. GLENDA SUE STIDHAM (NPI# 1598966459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598966459 |
| Entity Type | Individual |
| Full Name | MRS. GLENDA SUE STIDHAM |
| Credential | IECE CERTIFIED |
| Practice Address |
57 Miller Rd Manchester KY 40962-5714 |
| Practice Telephone | 6065982815 |
| Practice Fax Number | 6065980148 |
| Mailing Telephone | 6065982815 |
| Mailing Fax Number | 6065980148 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
01984 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | DEVELOPMENTAL INTERVENTIO | 01984 | 01 |
| Street Address |
57 MILLER RD |
| City | MANCHESTER |
| State | KY |
| Zip Code | 40962-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392356 | Angela Woods | Speech-Language Pathologist | 96 Woods Rd, Manchester, KY 40962 | 2017-08-15 |
| 1346627296 | Betty Alevras | Nurse Practitioner | 21 Crestview Drive, 204 Town Branch Road, Manchester, KY 40962 | 2015-04-29 |
| 1740525773 | Clay Community Pharmacy LLC | Pharmacy | 118 Clay Co S/c, Manchester, KY 40962 | 2012-12-03 |
| 1669758579 | Becky F Stubblefield | Nurse Practitioner | 65 Glenndale Drive, Manchester, KY 40962 | 2011-10-25 |
| 1891022315 | Sabrina Nicole Hacker | Occupational Therapist | 376 Manchester Square Shopping Centre, Manchester, KY 40962 | 2009-11-04 |
| 1114102167 | H&n Drug | Durable Medical Equipment & Medical Supplies | 515 Memorial Dr., Suite 2, Manchester, KY 40962 | 2008-01-08 |
| 1598944043 | Cumberland Valley Dist. Health Dept | Public Health or Welfare | 1983 Hwy 421, Manchester, KY 40962 | 2007-11-01 |
| 1023223203 | Dinah Lynn Sowders | Speech-Language Pathologist | 561 Mill Pond Drive, Manchester, KY 40962 | 2007-05-11 |
| 1104965300 | American Health Management, Inc. | Case Management | 2609 Hwy 80, Manchester, KY 40962 | 2007-02-05 |
| 1306902572 | Manchester Pharmacist Group LLC | Durable Medical Equipment & Medical Supplies | 415 Richmond Road, Unit B, Manchester, KY 40962 | 2006-12-29 |
| Find all providers in zip 40962 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629298260 | Laurel County Health Department | Clinic/Center | 525 Whitley St., London, KY 40741 | 2007-04-26 |
| 1114059029 | Gateway District Health Department | Clinic/Center | 68 Oberline Street, Owingsville, KY 40360 | 2007-03-09 |
| 1861479206 | Jessamine County Health Department | Clinic/Center | 210 E Walnut St, Nicholasville, KY 40356-1252 | 2005-12-28 |
| 1811152408 | Laurel County Health Department | Clinic/Center | 525 Whitley St, London, KY 40741-2626 | 2008-07-23 |
| 1629233218 | Laurel County Health Department | Clinic/Center | 525 Whitley St, London, KY 40741-2626 | 2008-07-23 |
| 1467628990 | Laurel County Health Department | Clinic/Center | 525 Whitley St, London, KY 40741-2626 | 2008-05-05 |
| 1285800714 | Laurel County Health Department | Clinic/Center | 525 Whitley St, London, KY 40741-2626 | 2008-05-05 |
| 1629244165 | Laurel County Health Department | Clinic/Center | 525 Whitley St, London, KY 40741-2626 | 2008-05-05 |
| 1609042142 | Laurel County Health Department | Clinic/Center | 525 Whitley St, London, KY 40741-2626 | 2008-05-05 |
| 1376719807 | Laurel County Health Department | Clinic/Center | 525 Whitley St, London, KY 40741-2626 | 2008-05-05 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 40962 |
Please comment or provide details below to improve the information on MRS. GLENDA SUE STIDHAM.
| 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.