KENNETH JAMES TAYLOR (NPI# 1528565488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528565488 |
| Entity Type | Individual |
| Full Name | KENNETH JAMES TAYLOR |
| Credential | LMSW |
| Practice Address |
707 N 7th Ave Pocatello ID 83201-5785 |
| Mailing Address |
2130 Ada St Pocatello ID 83201-2022 |
| Practice Telephone | 2082423044 |
| Mailing Telephone | 2087570803 |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2018-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10046 | ID | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 37236 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508909169 | Kenneth Wayne Taylor | Dentist | 3819 Towne Crossing Blvd, Suite 205, Mesquite, TX 75150-2799 | 2007-02-14 |
| 1508904491 | Kenneth Michael Taylor | Social Worker | 3169 Second Avenue East, Big Stone Gap, VA 24219 | 2007-02-02 |
| 1588745509 | Kenneth Alan Taylor | Dentist | 610 Dupont St, Suite 132, Bellingham, WA 98225-4054 | 2006-10-17 |
| 1144285156 | Kenneth K Taylor | Neuromusculoskeletal Medicine, Sports Medicine | 242 Winton Blount Loop, Montgomery, AL 36117 | 2006-04-20 |
| 1366940082 | Kenneth L Taylor | Case Manager/Care Coordinator | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2018-01-28 |
| 1831588797 | Kenneth Adam Taylor | Physical Therapist | 13330 Usf Laurel Dr, 3rd Floor, Tampa, FL 33612-6601 | 2015-01-15 |
| 1588069421 | Kenneth Earl Taylor Jr. | Case Manager/Care Coordinator | 1921 Ransom Pl, Nashville, TN 37217-3841 | 2014-11-04 |
| 1205245214 | Kenneth Taylor | Pharmacist | 1725 New Hope Church Rd, Raleigh, NC 27609-6285 | 2014-08-05 |
| 1306257365 | Kenneth Taylor | Physician Assistant | 3607 Manor Rd Ste 101, Austin, TX 78723-5818 | 2014-05-13 |
| 1225457534 | Kenneth Richard Taylor | Preventive Medicine | 14th Medical Group, 201 Independence Drive, Columbus Afb, MS 39710 | 2014-04-15 |
| Street Address |
707 N 7TH AVE |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-5785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649638107 | Tamara Young | Social Worker | 707 N 7th Ave, Pocatello, ID 83201-5785 | 2016-01-29 |
| 1730787201 | Kari Y Wolbert | Counselor | 707 N 7th Ave, Pocatello, ID 83201-5785 | 2020-10-15 |
| 1841833506 | Holly C Owens | Counselor | 707 N 7th Ave, Pocatello, ID 83201-5785 | 2019-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1932732906 | Teri Lee Wilske | Social Worker | 845 Barton Rd Trlr 35, Pocatello, ID 83204-1827 | 2020-02-19 |
| 1316448244 | Teresa Rae Walker | Social Worker | 151 N 3rd Ave Ste 110, Pocatello, ID 83201-6367 | 2018-02-26 |
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1982115671 | Lacey Jane Wuthrich | Social Worker | 1777 E Clark St Ste 330, Pocatello, ID 83201-3357 | 2017-10-20 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| 1437542891 | Holli Ludwig | Social Worker | 224 S Arthur Ave Ste 2, Pocatello, ID 83204-3202 | 2015-03-10 |
| 1649684119 | Yesenia Ruby Trejo | Social Worker | 118 E. Lander St., Pocatello, ID 83201 | 2014-06-12 |
| 1013257211 | Tania Kerr | Social Worker | 645 W Clark St, Pocatello, ID 83204-3141 | 2013-02-25 |
| 1720317589 | Natasha Jeanne Cutler | Social Worker | 1070 Hiline, Ste 335, Pocatello, ID 83201 | 2009-12-08 |
| Find all providers in POCATELLO | ||||
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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.