MRS. CHRISTINA JOY ETHERIDGE (NPI# 1376705954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376705954 |
| Entity Type | Individual |
| Full Name | MRS. CHRISTINA JOY ETHERIDGE |
| Practice Address |
127 Tara Ct Benton KY 42025-7513 |
| Practice Telephone | 2705270750 |
| Mailing Telephone | 2705270750 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
$$$$$$$$$ | KY | Other Service Providers |
| Street Address |
127 TARA CT |
| City | BENTON |
| State | KY |
| Zip Code | 42025-7513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073862843 | Elisha Dougherty | Pharmacist | 1004 Big Bear Hwy, Benton, KY 42025 | 2012-09-07 |
| 1730310285 | Benton Chiropractic, Pllc | Chiropractor | 141 Commerce Blvd, Benton, KY 42025 | 2009-07-31 |
| 1689813594 | Murray Calloway County Public Hospital | Internal Medicine | 543 Powell St, Benton, KY 42025 | 2009-02-17 |
| 1912159864 | William J Barabas | Physical Therapist | 244 Us Hwy 68 East, Benton, KY 42025 | 2008-10-22 |
| 1447419031 | Mary Jane Darnell | Occupational Therapy Assistant | 2607 Main Street, Benton, KY 42025 | 2008-06-09 |
| 1710176540 | Karen Diane Reed | Counselor | 198 Old Symsonia Road, Suite 107, Benton, KY 42025 | 2007-10-17 |
| 1255475794 | Community Alternatives Kentucky, Inc. | Home Health | 402 Caky Drive, Benton, KY 42025 | 2007-02-17 |
| 1477605988 | Marshall County Medical Associates | Family Medicine | 145 Vine Street, Benton, KY 42025 | 2007-01-17 |
| 1376604256 | Marshall County Assn. for Exceptional Children and Adults, Inc | Day Training, Developmentally Disabled Services | 198 Old Symsonia Road, Benton, KY 42025 | 2006-12-13 |
| 1023111929 | Benton Health Care, LLC | Nurse Practitioner | 414 East 12th Street, Benton, KY 42025 | 2006-09-06 |
| Find all providers in zip 42025 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366801383 | Sheritha Bousso | Contractor | 3220 Commander Dr, #203, Louisville, KY 40220-1776 | 2016-02-18 |
| 1548559818 | Michael D Blakey | Contractor | 12021 Ancient Spring Dr, Louisville, KY 40245-1803 | 2011-04-07 |
| 1194984443 | Phil James Nyderek Sr. | Contractor | 103 Ashmoore Drive, Greenup, KY 41144 | 2008-06-03 |
| 1659970788 | Chasity Lanham | Contractor | 1001 Springside Way, Louisville, KY 40223-3782 | 2020-10-20 |
Please comment or provide details below to improve the information on MRS. CHRISTINA JOY ETHERIDGE.
| 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.