BETHANY RAY WILSON (NPI# 1790286532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790286532 |
Entity Type | Individual |
Full Name | BETHANY RAY WILSON |
Credential | APSS |
Practice Address |
217 Elm Tree Ln Lexington KY 40507-2117 |
Practice Telephone | 8592186165 |
Mailing Telephone | 8592186165 |
Enumeration Date | 2018-02-27 |
Last Update Date | 2019-04-10 |
Gender Code | F |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
1351 Newtown Pike Bldg 1, Lexington, KY 405111277 | 8592531686 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588897722 | Bethany Wilson | Speech-Language Pathologist | 15284 Rte 28, Corsica, PA 15829-3704 | 2009-09-03 |
1023621323 | Bethany M Wilson | Counselor | 1960 N Holy Names Ct, Spokane, WA 99224-5803 | 2020-08-26 |
1275142184 | Bethany Wilson | Behavior Technician | 34 N Washington St, Ardmore, OK 73401-7013 | 2020-07-27 |
1477194439 | Bethany Wilson | Behavior Technician | 19615 Liverpool Pkwy Ste B, Cornelius, NC 28031-4075 | 2019-10-01 |
1831664150 | Bethany Wilson | Counselor | 6901 S Pierce St, Ste 370, Littleton, CO 80128 | 2018-10-13 |
1477098556 | Bethany Mckinney Wilson | Nurse Practitioner | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2016-12-28 |
1417324278 | Bethany Wilson | Counselor | 7459 Burlington Pike, Florence, KY 41042-1553 | 2015-08-27 |
Street Address |
217 ELM TREE LN |
City | LEXINGTON |
State | KY |
Zip Code | 40507-2117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881641769 | University of Kentucky | Pediatrics | 217 Elm Tree Ln, Lexington, KY 40507-2117 | 2006-05-27 |
1265095293 | Marie B Vice | Peer Specialist | 217 Elm Tree Ln, Lexington, KY 40507-2117 | 2019-04-16 |
1063957413 | Uk Lmft Group | Marriage & Family Therapist | 217 Elm Tree Ln, Lexington, KY 40507-2117 | 2016-12-21 |
1336681147 | Joanne Burris | Advanced Practice Midwife | 217 Elm Tree Ln, Lexington, KY 40507-2117 | 2016-11-10 |
1538500814 | Rebecca J Coots | Nurse Practitioner | 217 Elm Tree Ln, Lexington, KY 40507-2117 | 2013-07-15 |
1588934517 | Beverly Beth Woods | Nurse Practitioner | 217 Elm Tree Ln, Lexington, KY 40507-2117 | 2012-01-06 |
1710264809 | Carol Yaden | Nurse Practitioner | 217 Elm Tree Ln, Lexington, KY 40507-2117 | 2011-11-03 |
1255617932 | Melanie Mabins | Pharmacist | 217 Elm Tree Ln, Uk Healthcare Polk-dalton Clinic, Lexington, KY 40507-2117 | 2011-10-26 |
1760775829 | Julie Anne Bowers-pryor | Counselor | 217 Elm Tree Ln, Lexington, KY 40507 | 2011-05-24 |
1609995265 | Atitaya Tahn Trimble | Family Medicine | 217 Elm Tree Ln, Lexington, KY 40507-2117 | 2007-03-28 |
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 |
1467901686 | Megan D Davidson | Case Manager/Care Coordinator | 201 Mechanic St, Lexington, KY 40507 | 2016-09-29 |
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.