JESSAMINE COUNTY HEALTH DEPARTMENT (NPI# 1861479206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861479206 |
| Entity Type | Organization |
| Organization Name | JESSAMINE COUNTY HEALTH DEPARTMENT |
| Practice Address |
210 E Walnut St Nicholasville KY 40356-1252 |
| Practice Telephone | 8598854149 |
| Practice Fax Number | 8598851863 |
| Mailing Telephone | 8598854149 |
| Mailing Fax Number | 8598851863 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2013-03-22 |
| Authorized Official Name | MR. GARRY R. GOOCH (PUBLIC HEALTH DIRECTOR) |
| Authorized Official Telephone | 8598854149 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities | ||
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE FLU | FLU0309 | 01 |
| KY | 20057014 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215127303 | Jessamine County Health Department | Public Health or Welfare | 215 E Maple St, Nicholasville, KY 40356-1203 | 2007-07-26 |
| Street Address |
210 E WALNUT ST |
| City | NICHOLASVILLE |
| State | KY |
| Zip Code | 40356-1252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891193579 | Christi Daugherty | Dental Hygienist | 210 E Walnut St, Nicholasville, KY 40356-1252 | 2014-12-12 |
| 1740625144 | Karen Carey Fallon | Dietitian, Registered | 210 E Walnut St, Nicholasville, KY 40356-1252 | 2013-04-30 |
| 1700153657 | Lauren Marie Cass Lane | Dietitian, Registered | 210 E Walnut St, Nicholasville, KY 40356-1252 | 2011-11-21 |
| 1578508420 | Jean Augusta Price-kagan | Registered Nurse | 210 E Walnut St, Nicholasville, KY 40356-1252 | 2006-06-17 |
| 1265480206 | John W Geren | Emergency Medicine | 210 E Walnut St, Nicholasville, KY 40356-1252 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609414507 | Samantha Johanne Tatum | Occupational Therapist | 610 E Brannon Road Suite 200, Nicholasville, KY 40356 | 2019-12-11 |
| 1083117279 | Michelle M Harrison | Counselor | 100 W. Maple Street, Nicholasville, KY 40356 | 2018-03-14 |
| 1427598226 | Margaret Osbourne | Counselor | 101a Wind Haven Drive, Suite 203, Nicholasville, KY 40356 | 2017-02-28 |
| 1265818421 | Amanda Marie Sciretta | Speech-Language Pathologist | 105 Windhaven Drive, Suite 1, Nicholasville, KY 40356 | 2015-08-10 |
| 1538568720 | Carmen T Wurtz | Physical Therapist | 602 Keene Centre Dr, Nicholasville, KY 40356 | 2014-08-14 |
| 1780093609 | Kristin Borrelli | Psychologist | 2513 Bethel Rd, Nicholasville, KY 40356 | 2014-08-05 |
| 1003169343 | Megan Brittany Young | Occupational Therapist | 1123 Holloway Lane, Nicholasville, KY 40356 | 2012-10-24 |
| 1801145412 | Brannon Crossing Family Dental, Pllc | Dentist | 231 East Brannon Rd, Nicholasville, KY 40356 | 2012-08-29 |
| 1821392135 | The Methodist Home of Ky | Case Management | 1115 Ashgrove Road, Nicholasville, KY 40356 | 2010-12-29 |
| 1083934053 | Benjamin J Heckman | Dentist | 117 Bryant Dr, Nicholasville, KY 40356 | 2010-06-01 |
| Find all providers in zip 40356 | ||||
| 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 |
|---|---|---|---|---|
| 1598966459 | Glenda Sue Stidham | Clinic/Center | 57 Miller Rd, Manchester, KY 40962-5714 | 2007-05-29 |
| 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 |
| 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 | NICHOLASVILLE |
| Zip Code | 40356 |
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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.