SHANE SHERIFF (NPI# 1699214288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699214288 |
| Entity Type | Individual |
| Full Name | SHANE SHERIFF |
| Credential | CADC |
| Practice Address |
1100 Walnut St Owensboro KY 42301-2956 |
| Practice Telephone | 2706896598 |
| Mailing Telephone | 2706896598 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
171574 | KY | Behavioral Health & Social Service Providers |
| Street Address |
1100 WALNUT ST |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-2956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274912 | Colleen Elizabeth Bosley | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-10-27 |
| 1679170898 | Raymond Ramon Lowery | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-10-01 |
| 1033725353 | Cheryl Elder | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-09-22 |
| 1659998466 | Mackenzie T Sorrels | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-06-26 |
| 1063038396 | Brittany Allyse Whitehouse | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-06-23 |
| 1336763812 | Serenity Miller | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-06-01 |
| 1497386254 | Denise Rebecca Pearson | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-01-30 |
| 1023649928 | Julie A Stallings | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-01-29 |
| 1760028104 | Allison Warnick | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2019-11-20 |
| 1265077002 | Kalyn D Jones | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2019-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356815187 | Jennifer Dee Lewis-seaton | Counselor | 121 E 2nd St Ste 401, Owensboro, KY 42303-4109 | 2019-01-15 |
| 1861905242 | Kingdom Cove Ministries, LLC | Counselor | 202 W 3rd St Ste 1, Owensboro, KY 42303-4123 | 2017-11-08 |
| 1598059552 | Lonnie Lyles | Counselor | 1401 -c Spring Bank Dr Ste 6, Owensboro, KY 42303 | 2011-06-07 |
| 1003961814 | Marissa Hubert | Counselor | 1401 Spring Bank Dr., Bldg. C, Suite 7, Owensboro, KY 42303 | 2007-01-24 |
| 1346289840 | Richard Lee Mason | Counselor | 1030 E 18th St, Owensboro, KY 42303-4733 | 2006-06-06 |
| 1467951145 | Angela Renee Harris | Counselor | 202 W 3rd St Ste 1, Owensboro, KY 42303-4123 | 2018-02-07 |
| 1588162465 | Linda Rose Blair | Counselor | 750 Salem Dr, Owensboro, KY 42303-7758 | 2018-01-25 |
| 1427592328 | Anna Peck | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2016-12-12 |
| 1477992220 | Susan Kyle Smith | Counselor | 2720 Frederica St, Owensboro, KY 42301 | 2013-06-14 |
| 1740561141 | Kenneth E Caselden | Counselor | 2816 Veach Rd, Suite 208, Owensboro, KY 42303-6295 | 2011-08-30 |
| Find all providers in OWENSBORO | ||||
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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.