SIDNEY PATRICK KIBBEY (NPI# 1881204030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881204030 |
| Entity Type | Individual |
| Full Name | SIDNEY PATRICK KIBBEY |
| Practice Address |
209 Davis Rd Mt Sterling KY 40353-9549 |
| Mailing Address |
Po Box 790 Ashland KY 41105-0790 |
| Practice Telephone | 8594986574 |
| Practice Fax Number | 8594987325 |
| Mailing Telephone | 6063298588 |
| Mailing Fax Number | 6063298195 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
209 DAVIS RD |
| City | MT STERLING |
| State | KY |
| Zip Code | 40353-9549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174651327 | Ada Rose Braun | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2007-03-01 |
| 1992313589 | Donald Patterson | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-07-20 |
| 1144844333 | James Baker | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-06-03 |
| 1811511041 | Jessica Charles | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-06-03 |
| 1033733522 | April Holbert | Registered Nurse | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-06-01 |
| 1780207175 | Daniel Lanham | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-05-20 |
| 1437771730 | Thomas Blackburn | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-05-11 |
| 1023639887 | Richard Coe | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-05-04 |
| 1821619586 | Kimberly Rayburn | Registered Nurse | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-05-04 |
| 1730719956 | Alicia Martin | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982237798 | Nicole Teann Fossier | Developmental Therapist | 220 Blake Way, Mt. Sterling, KY 40353 | 2020-02-20 |
| 1215414578 | Emily Renee Nickell | Optometrist | 1 N Maysville Street, Mt. Sterling, KY 40353 | 2018-07-19 |
| 1366978538 | Regency Memory Care | Assisted Living Facility | 130 Sterling Way, Mount Sterling, KY 40353 | 2017-05-10 |
| 1760838452 | Tammy Mccarty Mccarty | Developmental Therapist | 104 Iroquois Drive, Mount Sterling, KY 40353 | 2016-05-11 |
| 1447660089 | Gateway Juvenile Diversion Project, Inc. | Clinic/Center | 37 North Maysville St, Mt Sterlig, KY 40353 | 2014-05-05 |
| 1508285024 | Natalie Spencer | Counselor | 37 North Maysville St., Mt. Sterling, KY 40353 | 2014-04-11 |
| 1316371925 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 709 Airport Rd, Mount Sterling, KY 40353 | 2013-08-30 |
| 1477999241 | Mckenzie S Grey | Physical Therapy Assistant | 624 North Maysville Ave, Mt Sterling, KY 40353 | 2013-05-20 |
| 1194066894 | Sterling Health Solutions, Inc | Pharmacy | 209 North Maysville St, Suite 200, Mt. Sterling, KY 40353 | 2013-03-06 |
| 1487930483 | Nathan Corey Rusher | Dentist | 635 N. Maysville St., Ste B, Mount Sterling, KY 40353 | 2011-10-24 |
| Find all providers in zip 40353 | ||||
| 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 |
|---|---|---|---|---|
| 1356986350 | Amy Ferrell | Peer Specialist | 529 Maysville Rd, Mt Sterling, KY 40353-9336 | 2019-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
| 1881291672 | W I N G S Community Support & Recovery Services | Peer Specialist | 401 N Miles St # B101, Elizabethtown, KY 42701-1834 | 2020-10-05 |
| 1881204212 | Kada Essig | Peer Specialist | 308 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-07-31 |
| 1427671957 | Barbara K Collier | Peer Specialist | 205 Mercer St, Elizabethtown, KY 42701-2731 | 2020-05-19 |
| 1316566813 | Sarah Clarkson Goff | Peer Specialist | 2655 Bardstown Rd, St Catharine, KY 40061 | 2020-04-14 |
| 1497383715 | Lawerence E Pickett | Peer Specialist | 537 Bellwood Dr, Elizabethtown, KY 42701-2336 | 2020-03-31 |
| 1326676578 | April Roann Robertson | Peer Specialist | 207 Hillcrest Dr, Elizabethtown, KY 42701-1719 | 2020-03-31 |
| 1053949370 | Brad Williamson | Peer Specialist | 535 Bellwood Dr Apt 1, Elizabethtown, KY 42701-2335 | 2020-03-31 |
| 1730717000 | Carolyn M Vance | Peer Specialist | 537 Bellwood Dr Apt 1, Elizabethtown, KY 42701-2336 | 2020-03-31 |
| 1083242697 | Chelsea Blair | Peer Specialist | 413 E Dixie Ave, Elizabethtown, KY 42701-1162 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
| City | MT STERLING |
| Zip Code | 40353 |
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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.