KEISHA DESHEA MIMES (NPI# 1518576115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518576115 |
| Entity Type | Individual |
| Full Name | KEISHA DESHEA MIMES |
| Practice Address |
212 Thompson Poynter Rd London KY 40741-7238 |
| Mailing Address |
368 Oxford Cir Richmond KY 40475-8263 |
| Practice Telephone | 6063300223 |
| Mailing Telephone | 6067335299 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 264348 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KY STATE LICENSE | 264348 | 01 |
| Street Address |
212 THOMPSON POYNTER RD |
| City | LONDON |
| State | KY |
| Zip Code | 40741-7238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063902583 | Sarah Oliver | Speech-Language Pathologist | 212 Thompson Poynter Rd, London, KY 40741-7238 | 2018-05-10 |
| 1104448091 | Tanner Rose | Speech-Language Pathologist | 212 Thompson Poynter Rd, London, KY 40741-7238 | 2020-05-13 |
| 1699397919 | Katie Jane Alsip | Speech-Language Pathologist | 212 Thompson Poynter Rd, London, KY 40741-7238 | 2020-05-08 |
| 1740821701 | Laken Tackett | Occupational Therapist | 212 Thompson Poynter Rd, London, KY 40741-7238 | 2019-10-01 |
| 1811464605 | Kayla Jackson | Speech-Language Pathologist | 212 Thompson Poynter Rd, London, KY 40741-7238 | 2018-10-30 |
| 1255816724 | Hailee Breann Lewis | Occupational Therapist | 212 Thompson Poynter Rd, London, KY 40741-7238 | 2018-10-01 |
| 1932699451 | Carley Jarboe | Speech-Language Pathologist | 212 Thompson Poynter Rd, London, KY 40741-7238 | 2018-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477097525 | Deva Norvell | Occupational Therapist | 1075 E 4th St, Suite 2, London, KY 40741-2528 | 2016-12-08 |
| 1841742749 | Jessica Ann Walsh | Occupational Therapist | 380 Elm St Fl 2, London, OH 43140-9220 | 2016-10-27 |
| 1720430655 | Sherry Renae Benge | Occupational Therapist | 602 Clyde Benge Rd, London, KY 40741-8808 | 2016-07-03 |
| 1841653045 | Bridgett Wagers | Occupational Therapist | 3004 Old Union Springs Dr, London, KY 40744-8103 | 2016-04-04 |
| 1326462615 | Victoria Herron | Occupational Therapist | 542 Kirkwood Dr, London, KY 40744-6457 | 2014-02-07 |
| 1144564295 | Paige Whitaker Oliver | Occupational Therapist | 392 Hoskins Cemetery Rd, London, KY 40741-8657 | 2012-11-15 |
| 1346490349 | Martina Lau Helton | Occupational Therapist | 1245 Fount Hubbard Rd, London, KY 40741-7611 | 2008-09-25 |
| 1851556955 | Stacy L Moses | Occupational Therapist | 100 Mountain View Drive, London, KY 40741 | 2008-07-28 |
| 1023041647 | Dena Kay Partin | Occupational Therapist | 202 West 7th Street, London, KY 40741-1763 | 2006-07-08 |
| 1932700051 | Morgan Nicole Knight | Occupational Therapist | 100 London Mountain View Dr Ste 400, London, KY 40741-6669 | 2020-11-04 |
| Find all providers in LONDON | ||||
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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.