MR. JOHN P MOFFITT (NPI# 1649320581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649320581 |
| Entity Type | Individual |
| Full Name | MR. JOHN P MOFFITT |
| Credential | MS |
| Practice Address |
415 Gibson Ln Richmond KY 40475-2577 |
| Mailing Address |
1351 Newtown Pike Lexington KY 40511-1217 |
| Practice Telephone | 8592531686 |
| Practice Fax Number | 8592542743 |
| Mailing Telephone | 8592531686 |
| Mailing Fax Number | 8592542743 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
40 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 30615058 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528095171 | John Joseph Moffitt | Otolaryngology | 927 Russell Dr, Lebanon, PA 17042-7487 | 2006-06-27 |
| 1356514053 | John C Moffitt | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Ft Benning, GA 31905-6100 | 2008-04-02 |
| 1821193475 | John M. Moffitt | Dentist | 210 Valley Mall Pkwy, East Wenatchee, WA 98802-7728 | 2006-09-14 |
| 1326061557 | John Scott Moffitt | Dentist | 15515 3rd Ave Sw, Suite A, Burien, WA 98166-2553 | 2006-07-26 |
| Street Address |
415 GIBSON LN |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-2577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457391344 | New Vista of The Bluegrass Inc | Clinic/Center | 415 Gibson Ln, Richmond, KY 40475-2577 | 2006-06-07 |
| 1326562349 | Andreia D Jarrell | Community Health Worker | 415 Gibson Ln, Richmond, KY 40475-2577 | 2017-08-01 |
| 1497275648 | Briana Jurrema | Counselor | 415 Gibson Ln, Richmond, KY 40475-2577 | 2017-06-20 |
| 1093245615 | Audrey Elaine Creech | Pharmacist | 415 Gibson Ln, Richmond, KY 40475-2577 | 2017-06-15 |
| 1568908309 | Franzeya Maranda Childress | Counselor | 415 Gibson Ln, Richmond, KY 40475-2577 | 2017-01-18 |
| 1033654785 | Aleshia Joy Wilson | Counselor | 415 Gibson Ln, Richmond, KY 40475-2577 | 2017-01-04 |
| 1457893497 | Brittney Alexander | Counselor | 415 Gibson Ln, Richmond, KY 40475-2577 | 2016-11-08 |
| 1710347752 | Sean Travis Marshall | Social Worker | 415 Gibson Ln, Richmond, KY 40475-2577 | 2016-03-03 |
| 1962861963 | Lauren Elise Young | Counselor | 415 Gibson Ln, Richmond, KY 40475-2577 | 2016-02-18 |
| 1801262134 | Minnah Wahida Farook | Counselor | 415 Gibson Ln, Richmond, KY 40475-2577 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144796731 | A Step Forward Wellness Services LLC | Psychologist | 2002 Bremo Rd Ste 204, Richmond, VA 23226-2441 | 2018-10-22 |
| 1417435447 | Erin D. Kurtz | Psychologist | 1201 Broad Rock Blvd # 116b, Richmond, VA 23249-0001 | 2018-08-01 |
| 1649762873 | Caitlin Paige Campbell | Psychologist | 1201 Brock Road Blvd, Richmond, VA 23249-0001 | 2018-06-04 |
| 1689195141 | Kimberly Knight Hilton | Psychologist | 2401 Hartman St, Richmond, VA 23223-2458 | 2017-07-05 |
| 1720511504 | Marshall Psychological Services, LLC | Psychologist | 2800 N. Parham Road, Suite 107, Richmond, VA 23294 | 2017-04-07 |
| 1740732981 | Howard Lloyd | Psychologist | 907 Floyd Ave, Richmond, VA 23284-9026 | 2016-11-03 |
| 1679929061 | Elizabeth Meghan Archer Wheeler | Psychologist | 7400 Beaufort Springs Drive, Suite 300, Richmond, VA 23225-3039 | 2016-05-04 |
| 1730558909 | Jodi Suzanne Couick | Psychologist | 3000 Parker Rd, Richmond, CA 94806-2742 | 2015-09-17 |
| 1386024461 | Rosalie Corona | Psychologist | 4730 East Southside Plaza, Richmond, VA 23224 | 2015-06-04 |
| 1649677337 | Yuriy Ustinov | Psychologist | 3 Baker St, Richmond, ME 04357-1387 | 2014-11-25 |
| Find all providers in RICHMOND | ||||
Please comment or provide details below to improve the information on MR. JOHN P MOFFITT.
| 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.