BRENDA SHEPHERD (NPI# 1639715899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639715899 |
| Entity Type | Individual |
| Full Name | BRENDA SHEPHERD |
| Practice Address |
115 Rockwood Ln Hazard KY 41701-9415 |
| Practice Telephone | 6064365761 |
| Practice Fax Number | 6064365797 |
| Mailing Telephone | 6064365761 |
| Mailing Fax Number | 6064365797 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767302 | Brenda Shepherd | Case Manager/Care Coordinator | 2510 Glenn Hwy, Cambridge, OH 43725-9028 | 2018-04-18 |
| 1326072620 | Brenda K Shepherd | Internal Medicine | 2500 North State Street, Department of Medicine/division of Hypertension, Jackson, MS 39216-4500 | 2006-07-10 |
| Street Address |
115 ROCKWOOD LN |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-9415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588657191 | Sarah Alston Cox | Marriage & Family Therapist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2005-08-30 |
| 1922606680 | Dawn Elkins | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2020-10-14 |
| 1720550346 | Lisa Weist | Case Manager/Care Coordinator | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2018-12-20 |
| 1316450349 | Angela Little | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2017-11-13 |
| 1407369598 | Heather Ritchie | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2017-11-10 |
| 1114436482 | Delisa Cornett | Social Worker | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2017-09-29 |
| 1255857769 | Christopher Kidder | Psychologist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2017-08-16 |
| 1588180004 | Alexander Kuhl | Psychologist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2017-08-16 |
| 1104342617 | Susanne Palmer | Psychologist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2017-08-16 |
| 1497281216 | Linda Cornett | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2017-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801109392 | Brenda K Williams | Case Manager/Care Coordinator | 412 Roy Campbell Dr, Hazard, KY 41701-9453 | 2010-07-26 |
| 1124297429 | Jessica Rose Lucas | Case Manager/Care Coordinator | 1028 Lotts Creek Rd, Hazard, KY 41701 | 2008-02-21 |
| 1720550346 | Lisa Weist | Case Manager/Care Coordinator | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2018-12-20 |
| 1366976383 | Brenda Lee Slone | Case Manager/Care Coordinator | 277 Roy Campbell Dr, Hazard, KY 41701-9485 | 2017-04-17 |
| 1831635929 | Pamela Smith | Case Manager/Care Coordinator | 48 Independence Dr, Hazard, KY 41701-9443 | 2017-01-12 |
| 1982147138 | Brandi Martin | Case Manager/Care Coordinator | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2016-11-21 |
| 1467827063 | Bethany Brown | Case Manager/Care Coordinator | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-12-08 |
| 1215301841 | Vincent Burdette | Case Manager/Care Coordinator | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-11-19 |
| 1407237621 | Jacqueline Caudill | Case Manager/Care Coordinator | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-06-12 |
| 1053792267 | Jalisa Gay | Case Manager/Care Coordinator | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-06-12 |
| Find all providers in HAZARD | ||||
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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.