DR. ANDREA OMIDY (NPI# 1285911719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285911719 |
| Entity Type | Individual |
| Full Name | DR. ANDREA OMIDY |
| Credential | PHD |
| Practice Address |
715 Shaker Dr Suite 132 Lexington KY 40504-3662 |
| Practice Telephone | 8599134825 |
| Mailing Telephone | 8599134825 |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2014-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1749 | KY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1749 | KY | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
1749 | KY | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1749 | KY | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
1749 | KY | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
1749 | KY | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
1749 | KY | Behavioral Health & Social Service Providers |
| Street Address |
715 SHAKER DR SUITE 132 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-3662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952372419 | Camellia Mazloomdoost | Psychiatry & Neurology | 715 Shaker Dr, Ste 101 Pain Management Medicine, Lexington, KY 40504 | 2006-01-31 |
| 1124578703 | Pain Management Medicine | Clinic/Center | 715 Shaker Dr, Suite 132, Lexington, KY 40504-3662 | 2016-10-07 |
| 1063711018 | Manoochehr Mazloomdoost Psc | Psychiatry & Neurology | 715 Shaker Dr, Suite 132, Lexington, KY 40504-3662 | 2011-03-16 |
| 1114180221 | Jared Christian Nimtz | Plastic Surgery | 715 Shaker Dr, Suite 100, Lexington, KY 40504-3662 | 2008-07-08 |
| 1063680304 | Bluegrass Eyecare Center, Pllc | Optometrist | 715 Shaker Dr, Suite 120, Lexington, KY 40504-3674 | 2008-02-20 |
| 1245412568 | C. Richard Bowers Jr. | Ophthalmology | 715 Shaker Dr, Suite 120, Lexington, KY 40504-3662 | 2007-11-28 |
| 1174741623 | Karen L. Demoss | Psychologist | 715 Shaker Dr, Suite 128, Lexington, KY 40504-3662 | 2007-04-22 |
| 1750414140 | Hamid Hussain Sheikh | Obstetrics & Gynecology | 715 Shaker Dr, Ste 139 Physicians Mall, Lexington, KY 40504 | 2007-03-14 |
| 1205964756 | William L. Dowden, M.d. and David S. Kirn, M.d., Psc | Specialist | 715 Shaker Dr, Suite 100, Lexington, KY 40504-3662 | 2007-02-28 |
| 1093895526 | Kentucky Hand Center Psc | Orthopaedic Surgery | 715 Shaker Dr, Suite #104, Lexington, KY 40504 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486230 | Angie Fabiola Hernandez | Psychologist | 1009 Fisk Ct, Lexington, KY 40511-8369 | 2020-10-26 |
| 1548869084 | Skaggs Consulting, Pllc | Psychologist | 501 Darby Creek Rd Ste 41, Lexington, KY 40509-1671 | 2020-10-24 |
| 1801412424 | Melinda Moore | Psychologist | 144 E Lowry Ln, Lexington, KY 40503-2403 | 2020-06-19 |
| 1760948939 | True North Counseling & Development, Pllc | Psychologist | 2220 Executive Dr Ste 202, Lexington, KY 40505-4872 | 2019-02-13 |
| 1740765569 | Marlene Major LLC | Psychologist | 76 Bedford St Ste 2, Lexington, MA 02420-4640 | 2018-09-27 |
| 1447740774 | Isabel Teresa Szabo | Psychologist | 28 Cottage St, Lexington, MA 02420-2202 | 2018-05-11 |
| 1336638246 | Betty G. Doo I | Psychologist | 26 Cary Ave, Lexington, MA 02421-7710 | 2018-05-07 |
| 1639675200 | Amy Frazier | Psychologist | 120 N Eagle Creek Dr Ste 103, Lexington, KY 40509-1827 | 2018-04-03 |
| 1629590443 | Jeffrey Phillip Winer | Psychologist | 57 Bedford St Ste 230, Lexington, MA 02420 | 2017-07-13 |
| 1184172298 | Meghan L Marsac | Psychologist | 800 Rose St # Ha398, Lexington, KY 40536-7001 | 2016-09-18 |
| Find all providers in LEXINGTON | ||||
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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.