TABITHA RENEE CRAFT (NPI# 1679113237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679113237 |
| Entity Type | Individual |
| Full Name | TABITHA RENEE CRAFT |
| Practice Address |
196 E Emmitt Ave Waverly OH 45690-1334 |
| Mailing Address |
120 Poole St West Portsmouth OH 45663-6225 |
| Practice Telephone | 7409476752 |
| Mailing Telephone | 7403521598 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
196 E EMMITT AVE |
| City | WAVERLY |
| State | OH |
| Zip Code | 45690-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457745135 | Jacqueline King | Registered Nurse | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2015-03-20 |
| 1740838531 | Whitley Ariel Tackett | Counselor | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2019-08-27 |
| 1184270357 | Tiffany Lynn Noble | Counselor | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2019-08-14 |
| 1568027514 | Samantha Brooke Sylvester | Counselor | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2019-05-06 |
| 1578127551 | Heather Vitura Mae Seymour I | Counselor | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2019-04-25 |
| 1306309513 | Kacey Decot | Counselor | 196 E Emmitt Ave, Waverly, OH 45690 | 2019-04-13 |
| 1528526456 | Angela Nada Hereford | Counselor | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2019-03-11 |
| 1396200127 | Victoria Ann Howard | Licensed Practical Nurse | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2019-02-06 |
| 1306320981 | Tatiana Mitchell | Counselor | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2018-09-20 |
| 1629551320 | Paula Talbert | Counselor | 196 E Emmitt Ave, Waverly, OH 45690-1334 | 2018-09-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767181 | Brandie Mustard | Homemaker | 3018 My Tabor Rd, Waverly, OH 45690 | 2020-10-15 |
| 1225661168 | Kyle Colley | Counselor | 14574 Us Hughway 23, Waverly, OH 45690 | 2020-02-19 |
| 1366082513 | Ryan Rawlins | Counselor | 14574 St. Rt. 23, Waverly, OH 45690 | 2020-01-15 |
| 1700424140 | Jaime Wooldridge | Counselor | 14532 St. Rt. 23, Waverly, OH 45690 | 2019-12-17 |
| 1518513415 | Jacquelyn Irene Sprouse | Counselor | 217 Emmitt Ave, Waverly, OH 45690 | 2019-08-15 |
| 1639634850 | Krista K Leeth | Counselor | 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 | 2019-02-01 |
| 1881196244 | Kevin Michael Reichert | Counselor | Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 | 2018-03-01 |
| 1619483179 | Ticia Lewis | Counselor | 14532 State Route 23, Waverly, OH 45690 | 2017-12-20 |
| 1205342136 | Criston B Evans | Licensed Practical Nurse | 14532 Us Highway 23, Waverly, OH 45690 | 2017-12-14 |
| 1447763313 | Jody Ryan Colley | Counselor | 14572 St. Rt. 23, Waverly, OH 45690 | 2017-11-14 |
| Find all providers in zip 45690 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225661168 | Kyle Colley | Counselor | 14574 Us Hughway 23, Waverly, OH 45690 | 2020-02-19 |
| 1366082513 | Ryan Rawlins | Counselor | 14574 St. Rt. 23, Waverly, OH 45690 | 2020-01-15 |
| 1700424140 | Jaime Wooldridge | Counselor | 14532 St. Rt. 23, Waverly, OH 45690 | 2019-12-17 |
| 1518513415 | Jacquelyn Irene Sprouse | Counselor | 217 Emmitt Ave, Waverly, OH 45690 | 2019-08-15 |
| 1639634850 | Krista K Leeth | Counselor | 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 | 2019-02-01 |
| 1922572353 | Kristin Patricia Wilson | Counselor | 196c E Emmitt Ave, Waverly, OH 45690-1334 | 2019-01-18 |
| 1821587718 | Cathy Cummings | Counselor | 14416 Us Highway 23, Waverly, OH 45690-9337 | 2018-05-07 |
| 1821587973 | Jonathan Leatherwood | Counselor | 14572 Us Highway 23 Ste E, Waverly, OH 45690-9448 | 2018-05-04 |
| 1881196244 | Kevin Michael Reichert | Counselor | Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 | 2018-03-01 |
| 1164922548 | Brenda Jones | Counselor | 14572 Us Highway 23 Ste F, Waverly, OH 45690-9454 | 2018-02-13 |
| Find all providers in WAVERLY | ||||
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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.