ALICIA L FEDEWA


Address: 1500 Trent Blvd, Lexington, KY 40515-1900
Phone: 8592722273

ALICIA L FEDEWA (NPI# 1538654082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538654082
Entity Type Individual
Full Name ALICIA L FEDEWA
Practice Address 1500 Trent Blvd
Lexington
KY 40515-1900
Mailing Address 661 Mount Vernon Dr
Lexington
KY 40502-2217
Practice Telephone 8592722273
Mailing Telephone 5172855928
Enumeration Date 2018-06-27
Last Update Date 2018-06-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
129932 KY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY LICENSE 129932 01

Office Location

Street Address 1500 TRENT BLVD
City LEXINGTON
State KY
Zip Code 40515-1900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174637391 Northpoint Senior Services Ky I LLC Durable Medical Equipment & Medical Supplies 1500 Trent Blvd, Lexington, KY 40515-1900 2006-08-17

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NPI Name Taxonomy Address Enumeration
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1043760465 Mary Lauren Elizabeth Willis Pharmacist 4251 Mooncoin Way, Lexington, KY 40515 2016-10-10
1417334103 William Douglas Hacker Pediatrics 4856 Pleasant Grove Road, Lexington, KY 40515 2015-05-01
1528480340 Frances Ann Cook Psychologist 4105 Heartwood Rd, Lexington, KY 40515 2014-01-14
1245574532 Patricia H Woodruff Nurse Practitioner 3030 Brookmonte Ln, Lexington, KY 40515 2012-11-27
1225381064 Tiffany Kruger Physical Therapist 1092 Duval St Ste 210, Lexington, KY 40515 2012-10-17
1356698203 Jessika Cordell Vance-morgan Behavioral Analyst 945 Darda Ct, Lexington, KY 40515 2012-08-09
1285915363 Southern Office Solutions Specialist 5060 Ivybridge Dr., Lexington, KY 40515 2011-09-02
1578794426 Emilie Carter Social Worker 1096 Duval St Ste 140, Lexington, KY 40515 2009-07-27
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700486230 Angie Fabiola Hernandez Psychologist 1009 Fisk Ct, Lexington, KY 40511-8369 2020-10-26
1548869084 Skaggs Consulting, Pllc Psychologist 501 Darby Creek Rd Ste 41, Lexington, KY 40509-1671 2020-10-24
1801412424 Melinda Moore Psychologist 144 E Lowry Ln, Lexington, KY 40503-2403 2020-06-19
1760948939 True North Counseling & Development, Pllc Psychologist 2220 Executive Dr Ste 202, Lexington, KY 40505-4872 2019-02-13
1740765569 Marlene Major LLC Psychologist 76 Bedford St Ste 2, Lexington, MA 02420-4640 2018-09-27
1447740774 Isabel Teresa Szabo Psychologist 28 Cottage St, Lexington, MA 02420-2202 2018-05-11
1336638246 Betty G. Doo I Psychologist 26 Cary Ave, Lexington, MA 02421-7710 2018-05-07
1639675200 Amy Frazier Psychologist 120 N Eagle Creek Dr Ste 103, Lexington, KY 40509-1827 2018-04-03
1629590443 Jeffrey Phillip Winer Psychologist 57 Bedford St Ste 230, Lexington, MA 02420 2017-07-13
1184172298 Meghan L Marsac Psychologist 800 Rose St # Ha398, Lexington, KY 40536-7001 2016-09-18
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Competitor

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City LEXINGTON
Zip Code 40515

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Dataset Information

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.

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