KYLEE A VASQUEZ (NPI# 1275048605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275048605 |
| Entity Type | Individual |
| Full Name | KYLEE A VASQUEZ |
| Other Name | KYLEE A DAVIS |
| Practice Address |
25212 Us Highway 20 Fayette OH 43521-9511 |
| Practice Telephone | 4192373103 |
| Practice Fax Number | 4192374044 |
| Mailing Telephone | 4192373103 |
| Mailing Fax Number | 4192374044 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE | CDCA.140402 | 01 |
| Street Address |
25212 US HIGHWAY 20 |
| City | FAYETTE |
| State | OH |
| Zip Code | 43521-9511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164858999 | Paula Anne Bird | Massage Therapist | 11916 County Road 20, Fayette, OH 43521 | 2013-09-25 |
| 1659589901 | Teresa Len Felix | Home Health Aide | 400 N. Park St. Lot 6, Fayette, OH 43521 | 2007-05-18 |
| 1548449812 | Fchc Medical Care, LLC | Family Medicine | 124 West Main Street, Fayette, OH 43521 | 2007-11-02 |
| 1972563104 | Jennifer A Schweitzer-ahmed | Family Medicine | 124 W Main St, Fayette, OH 43521 | 2006-03-23 |
| 1922022698 | Open Access Mri, LLC | Clinic/Center | 109 S Fayette St, Fayette, OH 43521-9411 | 2006-07-27 |
| 1144461484 | Fayette Local School District | Local Education Agency (LEA) | 400 E Gamble Rd, Fayette, OH 43521-9462 | 2009-03-17 |
| 1932166220 | Five County Alcohol/drug Program Serenity Haven | Case Management | 25212 Us Route 20, Fayette, OH 43521-9511 | 2006-04-28 |
| 1790294619 | Sondra L Metts | Counselor | 11804 County Road 21, Fayette, OH 43521-9756 | 2017-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213021 | Brittany Nicole Pate | Pharmacist | 3186 Al-171 N, Fayette, AL 35555 | 2020-07-24 |
| 1801416599 | Ashlee Dougherty | Student in an Organized Health Care Education/Training Program | 1141 County Road 201, Fayette, MO 65248-9271 | 2020-04-22 |
| 1063047496 | Angela Short | Social Worker | 240 Mcnair Rd, Fayette, MS 39069-5540 | 2020-03-05 |
| 1912531427 | Magnolia Personal Care LLC | Respite Care | 69 Bo Stampley Rd, Fayette, MS 39069-4879 | 2020-02-24 |
| 1265063135 | Georgene Ferrie | Massage Therapist | 1612 Main St., Fayette, MS 39069 | 2020-01-30 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1083257315 | Amanda Hanson | Nurse Practitioner | 2938 Highway 18 W, Fayette, AL 35555-6007 | 2019-10-18 |
| 1538715248 | Octavia Louise Mcquitty | Adult Companion | 504 Rocheport St, Fayette, MO 65248-1290 | 2019-08-18 |
| 1467006106 | Shenelle Savage | Technician | 131 Creekview Ln, Fayette, MS 39069-4596 | 2019-07-31 |
| 1902464415 | Takuya Suzuki | Specialist/Technologist | 400 Jones St, Fayette, IA 52142-9180 | 2019-05-30 |
| Find all providers in FAYETTE | ||||
| 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 |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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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.