STACEY HENDERSON (NPI# 1306316294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306316294 |
| Entity Type | Individual |
| Full Name | STACEY HENDERSON |
| Practice Address |
1351 Newtown Pike Bldg 1 Lexington KY 40511-1277 |
| Practice Telephone | 8592531686 |
| Mailing Telephone | 8592531686 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1790731081 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649666405 | Stacey Henderson | Emergency Medicine | 2510 Bert Koun Loop, Shreveport, LA 71118-3119 | 2015-04-08 |
| 1013059864 | Stacey Ann Henderson | Physical Therapist | 5105 N Park Dr, Pennsauken, NJ 08109-4630 | 2007-02-12 |
| Street Address |
1351 NEWTOWN PIKE BLDG 1 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40511-1277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285659391 | Heather Alicia Thornsbury | Nurse Practitioner | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2006-07-12 |
| 1700487139 | Krishiyanna A Huguely | Counselor | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-11-03 |
| 1790386126 | Lori Jane Cooke | Social Worker | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-11-03 |
| 1326649765 | Eden Necole Griffin | Social Worker | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-11-03 |
| 1134728314 | Lucas M Todd | Community Health Worker | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-10-20 |
| 1043819220 | Genesis Robinson | Counselor | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-10-20 |
| 1952900136 | William Clinton Stidham | Community Health Worker | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-10-20 |
| 1588261200 | Emily Jo Cassity | Social Worker | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-10-06 |
| 1205433927 | Danielle Skelly | Counselor | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-10-06 |
| 1013514736 | Katelyn Melissa Mitchell | Case Manager/Care Coordinator | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-10-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278915 | Amy H Ward | Counselor | 1382 Bull Lea Road, Lexington, KY 40511 | 2019-01-03 |
| 1295233104 | Coventry Oak Elementary School | Public Health or Welfare | 2441 Huntly Place, Lexington, KY 40511 | 2018-01-25 |
| 1881192789 | The Stables (school) | Public Health or Welfare | 4089 Iron Works Pike, Lexington, KY 40511 | 2018-01-25 |
| 1124526033 | Garrett Morgan Elementary School | Public Health or Welfare | 1150 Passage Mound Way, Lexington, KY 40511 | 2018-01-25 |
| 1760903520 | Taylor Bowman | Optometrist | 2500 Leestown Road, Lexington, KY 40511 | 2017-07-03 |
| 1982134409 | Amy Beth Powers | Counselor | 455 Park Place, Suite 130, Lexington, KY 40511 | 2017-06-18 |
| 1336695196 | Life Navigation Services, LLC | Community/Behavioral Health | 348 Mcconnells Trace #102, Lexington, KY 40511 | 2016-08-31 |
| 1730545989 | Delmetria Cayson Combs | Counselor | 1374 Bull Lea Road, Lexington, KY 40511 | 2016-01-04 |
| 1720456080 | Lisa Higgins | Case Manager/Care Coordinator | 1351 Newtown Pike #5, Bluegrass, Lexington, KY 40511 | 2015-09-03 |
| 1346500766 | Rachel Elaine Clark | Counselor | 1351 Newtown Pike, Bldg 4, Lexington, KY 40511 | 2012-05-18 |
| Find all providers in zip 40511 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770144362 | Melony Joy Cunningham | Case Manager/Care Coordinator | 4229 Ridgewater Dr, Lexington, KY 40515-6010 | 2019-06-25 |
| 1396215901 | Crystal Rose Wynn | Case Manager/Care Coordinator | 193 Frederick St Apt 1l, Lexington, OH 44904-1247 | 2018-11-27 |
| 1689155905 | Cassie Elizabeth Allen | Case Manager/Care Coordinator | 3337 Overbrook Dr, Lexington, KY 40502-3351 | 2018-08-24 |
| 1265939391 | Avia Dozier | Case Manager/Care Coordinator | 162 Boiling Springs Ln, Lexington, SC 29073-7682 | 2018-04-05 |
| 1720456080 | Lisa Higgins | Case Manager/Care Coordinator | 1351 Newtown Pike #5, Bluegrass, Lexington, KY 40511 | 2015-09-03 |
| 1376927137 | Nicole Lawson | Case Manager/Care Coordinator | 1136 Mount Rushmore Way # A, Lexington, KY 40515-5437 | 2015-07-11 |
| 1649678657 | April Hill | Case Manager/Care Coordinator | 2244 Winterberry Dr # B, Lexington, KY 40504-3241 | 2014-12-08 |
| 1689093866 | Tove Reiman | Case Manager/Care Coordinator | 2401 Plum Creek Pkwy, Lexington, NE 68850-2813 | 2014-04-15 |
| 1801225974 | Ascential Care Partners, LLC | Case Manager/Care Coordinator | 333 West Vine Street, Suite 300, Lexington, KY 40507-1626 | 2013-11-08 |
| 1568702884 | Nicole Renee Morgan-brown | Case Manager/Care Coordinator | 2937 Briggs Pl, Lexington, KY 40511-8874 | 2013-02-22 |
| 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.