TIMOTHY R DURHAM (NPI# 1497209431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497209431 |
| Entity Type | Individual |
| Full Name | TIMOTHY R DURHAM |
| Practice Address |
322 Middleburg St Liberty KY 42539-3004 |
| Mailing Address |
130 Southern School Rd Somerset KY 42501-3223 |
| Practice Telephone | 6067879472 |
| Practice Fax Number | 6067877344 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134644016 | Timothy Durham | Social Worker | 905 River Rd, Granville, OH 43023-9560 | 2017-08-11 |
| 1205972288 | Timothy Mark Durham | Dentist | 989375 Nebraska Medical Ctr, Omaha, NE 68198-9375 | 2007-01-29 |
| 1811987613 | Timothy J Durham | Pediatrics | 211 N Eddy St, South Bend, IN 46617-2808 | 2005-10-24 |
| Street Address |
322 MIDDLEBURG ST |
| City | LIBERTY |
| State | KY |
| Zip Code | 42539-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346438421 | Latisha Collins | Counselor | 322 Middleburg St, Liberty, KY 42539-3004 | 2007-10-15 |
| 1225643091 | Gloria Jean Greynolds | Counselor | 322 Middleburg St, Liberty, KY 42539-3004 | 2020-09-09 |
| 1730790809 | Tanya Carman | Case Manager/Care Coordinator | 322 Middleburg St, Liberty, KY 42539-3004 | 2020-08-12 |
| 1669027173 | Christol Barnett | Counselor | 322 Middleburg St, Liberty, KY 42539-3004 | 2019-08-02 |
| 1831754845 | Ashley N Ramirez | Case Manager/Care Coordinator | 322 Middleburg St, Liberty, KY 42539-3004 | 2019-05-06 |
| 1881167906 | Allison Hamm | Counselor | 322 Middleburg St, Liberty, KY 42539-3004 | 2019-01-11 |
| 1326515842 | Tiana Mcqueary | Case Manager/Care Coordinator | 322 Middleburg St, Liberty, KY 42539-3004 | 2018-11-02 |
| 1821565557 | Ashely Blevins | Case Manager/Care Coordinator | 322 Middleburg St, Liberty, KY 42539-3004 | 2018-10-31 |
| 1801362918 | Ann T Vaughn | Case Manager/Care Coordinator | 322 Middleburg St, Liberty, KY 42539-3004 | 2018-10-16 |
| 1609369289 | Mary Mccoy | Case Manager/Care Coordinator | 322 Middleburg St, Liberty, KY 42539-3004 | 2018-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710547211 | Adult Day Health, Inc. | Clinic/Center | 39 Hwy 49, Liberty, KY 42539 | 2019-06-17 |
| 1144521303 | David Antonio Medina | Chiropractor | 69 Hustonville St., Liberty, KY 42539 | 2010-11-04 |
| 1356677694 | Masata, Inc. | Community/Behavioral Health | 549 Middleburg St., Liberty, KY 42539 | 2009-10-21 |
| 1174798078 | Dr. Michele Beeler, D.m.d., Pllc | Dentist | 650 Whipp Avenue, Liberty, KY 42539 | 2008-04-23 |
| 1134314230 | Cundiff Family Chiropractic, Psc | Chiropractor | 256 N. Wallace Wilkinson Blvd., Liberty, KY 42539 | 2007-09-11 |
| 1770782633 | Lake Cumberland District Health | Public Health or Welfare | 2834 S. Us 127, Liberty, KY 42539 | 2007-07-12 |
| 1568596286 | Back and Body Chiropractic Center Inc. | Chiropractor | 69 Hustonville Street, Liberty, KY 42539 | 2007-03-15 |
| 1497890545 | Lake Cumberland District Health Department | Public Health or Welfare | 199 Adams Street, Liberty, KY 42539 | 2007-02-20 |
| 1891836581 | Stanford Family Medicine & Obstetrics Psc | Legal Medicine | 19 Abes Plaza, Old Hustonville Rd, Liberty, KY 42539 | 2007-02-08 |
| 1740331537 | Sheila Ann Ping | Speech-Language Pathologist | 7235 Thomas Ridge Road, Liberty, KY 42539 | 2007-01-16 |
| Find all providers in zip 42539 | ||||
| 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 |
|---|---|---|---|---|
| 1548744667 | Nicole Rose | Case Manager/Care Coordinator | 50 Community Lane, Liberty, NY 12754 | 2018-09-25 |
| 1376957902 | Amelia Miller I | Case Manager/Care Coordinator | 960 Wellington Way, Liberty, MO 64068-1482 | 2014-06-11 |
| 1730790809 | Tanya Carman | Case Manager/Care Coordinator | 322 Middleburg St, Liberty, KY 42539-3004 | 2020-08-12 |
| 1831754845 | Ashley N Ramirez | Case Manager/Care Coordinator | 322 Middleburg St, Liberty, KY 42539-3004 | 2019-05-06 |
| 1982160479 | Linda Simmons | Case Manager/Care Coordinator | 50 Community Ln, Liberty, NY 12754-2851 | 2019-02-20 |
| 1326515842 | Tiana Mcqueary | Case Manager/Care Coordinator | 322 Middleburg St, Liberty, KY 42539-3004 | 2018-11-02 |
| 1821565557 | Ashely Blevins | Case Manager/Care Coordinator | 322 Middleburg St, Liberty, KY 42539-3004 | 2018-10-31 |
| 1801362918 | Ann T Vaughn | Case Manager/Care Coordinator | 322 Middleburg St, Liberty, KY 42539-3004 | 2018-10-16 |
| 1609369289 | Mary Mccoy | Case Manager/Care Coordinator | 322 Middleburg St, Liberty, KY 42539-3004 | 2018-06-08 |
| 1538690540 | Delray Carter | Case Manager/Care Coordinator | 322 Middleburg St, Liberty, KY 42539-3004 | 2017-03-22 |
| Find all providers in LIBERTY | ||||
Please comment or provide details below to improve the information on TIMOTHY R DURHAM.
| 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.