KHANDI STEWART (NPI# 1073058608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073058608 |
| Entity Type | Individual |
| Full Name | KHANDI STEWART |
| Practice Address |
474 N Yellow Springs St Springfield OH 45504-2463 |
| Practice Telephone | 9373999500 |
| Practice Fax Number | 9373424242 |
| Mailing Telephone | 9373999500 |
| Mailing Fax Number | 9373424242 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LICDC.141284 | OH | Behavioral Health & Social Service Providers |
| Street Address |
474 N YELLOW SPRINGS ST |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45504-2463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114912805 | Nancy Kaye Allen | Social Worker | 474 N Yellow Springs St, Springfield, OH 45504-2463 | 2005-09-19 |
| 1013514975 | Shelby Havens | Case Manager/Care Coordinator | 474 N Yellow Springs St, Springfield, OH 45504-2463 | 2020-10-05 |
| 1346847209 | Macie Hobbs | Social Worker | 474 N Yellow Springs St, Springfield, OH 45504-2463 | 2020-10-05 |
| 1194339077 | Chris Gladman | Registered Nurse | 474 N Yellow Springs St, Springfield, OH 45504-2463 | 2020-09-08 |
| 1669086567 | Julie Lapois | Registered Nurse | 474 N Yellow Springs St, Springfield, OH 45504-2463 | 2020-09-08 |
| 1841804721 | Matthew Morgan | Registered Nurse | 474 N Yellow Springs St, Springfield, OH 45504-2463 | 2020-09-08 |
| 1871103085 | Tara Frizell | Registered Nurse | 474 N Yellow Springs St, Springfield, OH 45504-2463 | 2020-08-03 |
| 1124636360 | Heather Murray (trapp) | Recreation Therapist | 474 N Yellow Springs St, Springfield, OH 45504-2463 | 2020-07-14 |
| 1750909305 | Janalee Black | Registered Nurse | 474 N Yellow Springs St, Springfield, OH 45504-2463 | 2020-07-10 |
| 1902424930 | Mikayla Lyons | Registered Nurse | 474 N Yellow Springs St, Springfield, OH 45504-2463 | 2020-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251227 | Brent Eresman | Massage Therapist | 25 W. Harding Rd, Springfield, OH 45504 | 2019-12-06 |
| 1346728300 | Bruns and Cross, LLC | Hearing Aid Equipment | 1905 West North Street, Springfield, OH 45504 | 2018-08-01 |
| 1376054197 | Trilogy Healthcare Operations of Springfield II, LLC | Skilled Nursing Facility | 2900 Bechtle Avenue, Springfield, OH 45504 | 2017-10-19 |
| 1639573967 | Lindsay Ann Brumfield | Speech-Language Pathologist | 643 Mayhill Road, Springfield, OH 45504 | 2014-10-15 |
| 1447662788 | Garrett Hayman | Chiropractor | 1052 Upper Valley Pike, Springfield, OH 45504 | 2014-05-21 |
| 1538582291 | Jerry Newport | Counselor | 474 N. Yellow Springs St, Mental Health Services for Clark and Madison Counties, Springfield, OH 45504 | 2014-01-30 |
| 1700217999 | Olivia Masters | Speech-Language Pathologist | 1600 St. Paris Rd., Springfield, OH 45504 | 2013-12-12 |
| 1972840312 | Luke N. Onuorah | Internal Medicine | 30 W Mccreight Ave Ste 106, Springfield, OH 45504 | 2013-01-04 |
| 1912208414 | Flexeon Rehabilitation Springfield Ohio, LLC | Clinic/Center | 1303 West 1st Street, Springfield, OH 45504 | 2010-11-15 |
| 1205137577 | Erin Elizabeth George | Social Worker | 30 W Mccreight Ave Ste 204, Springfield, OH 45504 | 2010-11-03 |
| Find all providers in zip 45504 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803990 | Stephanie R Stephens | Counselor | 1705 Maiden Ln, Springfield, OH 45504-2908 | 2020-02-14 |
| 1801449988 | Maurice Steven Martinez | Counselor | 7215 Adrienne Glen Ave, Springfield, VA 22152-3540 | 2019-07-18 |
| 1215494737 | John Henry Mccollum Jr. | Counselor | 80 Congress St Ste 101, Springfield, MA 01104-3427 | 2019-02-21 |
| 1821584541 | Patricia Thakur | Counselor | 404 E Battlefield St # R, Springfield, MO 65807-4802 | 2018-07-05 |
| 1336632074 | Solutions Group Nw LLC | Counselor | 3831 Main St Ste 108, Springfield, OR 97478-5801 | 2018-06-07 |
| 1285126235 | Rebecca Ann Dalton | Counselor | 3032 S Fremont Ave Ste C200, Springfield, MO 65804-4210 | 2018-06-05 |
| 1184136905 | Mark Jones | Counselor | 120 N Fountain Ave, Springfield, OH 45502-1163 | 2017-11-02 |
| 1457863599 | Michael A Carter | Counselor | 832 Olive St, Springfield, OH 45503-3738 | 2017-10-30 |
| 1710498001 | Springfield Treatment Center | Counselor | 1485 Market St, Springfield, OR 97477-3337 | 2017-10-13 |
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45504 |
Please comment or provide details below to improve the information on KHANDI STEWART.
| 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.