CAITLYN MARIE JERVIS (NPI# 1497017669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497017669 |
| Entity Type | Individual |
| Full Name | CAITLYN MARIE JERVIS |
| Credential | PA |
| Practice Address |
1792 Alysheba Way Lexington KY 40509-2288 |
| Mailing Address |
110 Upper Green Glade Rd Swanton MD 21561-1313 |
| Practice Telephone | 8593359041 |
| Mailing Telephone | 3019616626 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2018-12-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1792 ALYSHEBA WAY |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568423275 | Robert Swayze | Physical Therapist | 1792 Alysheba Way, Lexington, KY 40509-2288 | 2006-03-31 |
| 1033632658 | Ryan Charles Vietmeier | Physical Therapist | 1792 Alysheba Way, Lexington, KY 40509-2288 | 2017-07-25 |
| 1700259223 | Laura Elizabeth Williams | Physical Therapist | 1792 Alysheba Way, Suite 140, Lexington, KY 40509-2288 | 2015-11-05 |
| 1144693656 | Austin Tiller | Physical Therapist | 1792 Alysheba Way, Suite 140, Lexington, KY 40509-2288 | 2015-11-05 |
| 1700215720 | Tori Cloar Justice | Physical Therapist | 1792 Alysheba Way, Lexington, KY 40509-2288 | 2013-11-12 |
| 1003250473 | Mesa Indiana Ed Associates, LLC | Physician Assistant | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2013-04-29 |
| 1144562620 | Kandace Marie Wall | Nurse Practitioner | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2013-03-21 |
| 1063765865 | Todd Stuart Greene | Physician Assistant | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2012-10-18 |
| 1508114224 | Cara Clark Busler | Physician Assistant | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2012-08-28 |
| 1669744595 | Marshall West Virginia Hospitalist Associates, LLC | Internal Medicine | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2012-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282095 | Alison Deanne Power | Physician Assistant | 3209 Keithshire Way, Lexington, KY 40503-3481 | 2020-10-09 |
| 1588270110 | Reid Van Bussum | Physician Assistant | 913 Fiddler Creek Way, Lexington, KY 40515-6460 | 2020-09-18 |
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1689283731 | Corine Maria Van Gessel | Physician Assistant | 800 Rose Street Neonatal Intensive Care Unit, Lexington, KY 40536-0001 | 2020-07-24 |
| 1942827183 | Michael Dale Anthony Farran | Physician Assistant | 1401 Harrodsburg Rd Ste C405, Lexington, KY 40504-1748 | 2020-07-04 |
| 1033735204 | Melissa Mccool | Physician Assistant | 525 Red Taffy Way, Lexington, SC 29073-2907 | 2020-06-23 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1265056428 | Bernard L Bell | Physician Assistant | 838 Bryan Ave Apt 2, Lexington, KY 40505-3540 | 2020-06-03 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 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.