SAMANTHA LEE RIDDELL (NPI# 1639788441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639788441 |
| Entity Type | Individual |
| Full Name | SAMANTHA LEE RIDDELL |
| Practice Address |
1351 Newtown Pike Bldg 1 Lexington KY 40511-1277 |
| Practice Telephone | 8592531686 |
| Mailing Telephone | 8592531686 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | KY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1790731081 | 05 |
| Street Address |
1351 NEWTOWN PIKE BLDG 1 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40511-1277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285659391 | Heather Alicia Thornsbury | Nurse Practitioner | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2006-07-12 |
| 1700487139 | Krishiyanna A Huguely | Counselor | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-11-03 |
| 1790386126 | Lori Jane Cooke | Social Worker | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-11-03 |
| 1326649765 | Eden Necole Griffin | Social Worker | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-11-03 |
| 1134728314 | Lucas M Todd | Community Health Worker | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-10-20 |
| 1043819220 | Genesis Robinson | Counselor | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-10-20 |
| 1952900136 | William Clinton Stidham | Community Health Worker | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-10-20 |
| 1588261200 | Emily Jo Cassity | Social Worker | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-10-06 |
| 1205433927 | Danielle Skelly | Counselor | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-10-06 |
| 1013514736 | Katelyn Melissa Mitchell | Case Manager/Care Coordinator | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278915 | Amy H Ward | Counselor | 1382 Bull Lea Road, Lexington, KY 40511 | 2019-01-03 |
| 1295233104 | Coventry Oak Elementary School | Public Health or Welfare | 2441 Huntly Place, Lexington, KY 40511 | 2018-01-25 |
| 1881192789 | The Stables (school) | Public Health or Welfare | 4089 Iron Works Pike, Lexington, KY 40511 | 2018-01-25 |
| 1124526033 | Garrett Morgan Elementary School | Public Health or Welfare | 1150 Passage Mound Way, Lexington, KY 40511 | 2018-01-25 |
| 1760903520 | Taylor Bowman | Optometrist | 2500 Leestown Road, Lexington, KY 40511 | 2017-07-03 |
| 1982134409 | Amy Beth Powers | Counselor | 455 Park Place, Suite 130, Lexington, KY 40511 | 2017-06-18 |
| 1336695196 | Life Navigation Services, LLC | Community/Behavioral Health | 348 Mcconnells Trace #102, Lexington, KY 40511 | 2016-08-31 |
| 1730545989 | Delmetria Cayson Combs | Counselor | 1374 Bull Lea Road, Lexington, KY 40511 | 2016-01-04 |
| 1720456080 | Lisa Higgins | Case Manager/Care Coordinator | 1351 Newtown Pike #5, Bluegrass, Lexington, KY 40511 | 2015-09-03 |
| 1346500766 | Rachel Elaine Clark | Counselor | 1351 Newtown Pike, Bldg 4, Lexington, KY 40511 | 2012-05-18 |
| Find all providers in zip 40511 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831612027 | Natasha Lacey | Peer Specialist | 1099 S Broadway Ste 220, Lexington, KY 40504-2663 | 2017-07-19 |
| 1972119204 | Kristina Marie Keller | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-09-22 |
| 1952917288 | Krisitn Renee Wilson | Peer Specialist | 1351 Newtown Pike Bldg 3, Lexington, KY 40511-1278 | 2020-09-22 |
| 1114532025 | Stephanie Niccole Haydon | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-09-09 |
| 1558970368 | Crystal P Brown | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-07-28 |
| 1093332629 | Gabriel Allen Upchurch | Peer Specialist | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-06-30 |
| 1548885742 | Sarah Elizabeth Neal | Peer Specialist | 120 Chrysalis Ct, Lexington, KY 40508-2618 | 2020-06-12 |
| 1215551684 | James Phillip Luallen | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-06-02 |
| 1699398214 | Christin Hungate | Peer Specialist | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-05-19 |
| 1518580133 | Kelsea Saige Dills | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-05-19 |
| 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.