SAMUEL H KIRBY (NPI# 1972855914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972855914 |
| Entity Type | Individual |
| Full Name | SAMUEL H KIRBY |
| Credential | SAC |
| Practice Address |
3113 E Washington Ave Madison WI 53704-4330 |
| Practice Telephone | 6082420220 |
| Practice Fax Number | 6082421166 |
| Mailing Telephone | 6082420220 |
| Mailing Fax Number | 6082421166 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15769-131 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699759274 | Samuel L. Kirby | Optometrist | 174 Ana Dr, Florence, AL 35630-1759 | 2005-12-06 |
| 1124022652 | Samuel Craig Kirby | Dermatology | 404 Westwood Ave, Ste 107, High Point, NC 27262-4316 | 2005-06-13 |
| Street Address |
3113 E WASHINGTON AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53704-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316087679 | Susan D. Brown | Licensed Practical Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2007-02-07 |
| 1760094304 | Jamie Jean Webster | Licensed Practical Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2020-08-17 |
| 1437770765 | Stacy Marie Fitzgerald | Licensed Practical Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2020-04-28 |
| 1356988950 | Theresa Rohner | Registered Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2019-12-03 |
| 1083258396 | Brianna Bingham | Registered Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2019-10-30 |
| 1043870520 | Jodie Lynn Kroll | Licensed Practical Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2019-06-18 |
| 1235623323 | Elizabeth Susan Regnier | Registered Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2018-06-21 |
| 1295225605 | Amanda Martinelli | Registered Nurse | 3113 E Washington Ave, Madison, WI 53704-4330 | 2018-05-11 |
| 1194234922 | Amy Brown | Counselor | 3113 E Washington Ave, Madison, WI 53704 | 2017-09-25 |
| 1881131761 | Psychological Addiction Services LLC | Clinic/Center | 3113 E Washington Ave, Madison, WI 53704-4330 | 2017-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359337 | Sarah Luetzow Marten | Counselor | 6441 Enterprise Ln Ste 101, Madison, WI 53719-1180 | 2020-09-08 |
| 1366051088 | Katreasa L Cwright | Counselor | 224 South 5th St, Madison, AR 72359 | 2020-07-28 |
| 1811522253 | Sandra Bruno | Counselor | 102 Wesly Clark Blvd, Madison, AL 35756-4028 | 2020-03-05 |
| 1750915047 | Marina Macgillivray | Counselor | 2009 E Dayton St, Madison, WI 53704-4720 | 2020-02-26 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1851954713 | Michael Allen Hetts | Counselor | Madison East Ctc, 5109 World Dairy Dr, Madison, WI 53718-3807 | 2019-04-17 |
| 1205333671 | Michele Lee Nusker | Counselor | 1733 Stirling Rd, Madison, OH 44057-2030 | 2018-04-11 |
| 1609378546 | Impact Behavioral Counseling LLC | Counselor | 20 Hughes Rd Ste 101-b, Madison, AL 35758-2237 | 2018-03-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1669837498 | Gregory Cox | Counselor | 313 Price Pl Ste 101, Madison, WI 53705-3262 | 2015-12-21 |
| Find all providers in MADISON | ||||
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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.