BLUEGRASS BEHAVIORAL HEALTH SERVICES LLC (NPI# 1700494598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700494598 |
| Entity Type | Organization |
| Organization Name | BLUEGRASS BEHAVIORAL HEALTH SERVICES LLC |
| Practice Address |
501 Marsailles Rd Ste 3 Versailles KY 40383-1911 |
| Mailing Address |
229 S Stourbridge Rd Versailles KY 40383-2001 |
| Practice Telephone | 8594941421 |
| Mailing Telephone | 8594941421 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |
| Authorized Official Name | KAITLYN PLYMALE (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 8596128034 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
501 MARSAILLES RD STE 3 |
| City | VERSAILLES |
| State | KY |
| Zip Code | 40383-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184037798 | The Nile Ministries Inc | Substance Abuse Rehabilitation Facility | 4185 Lexington Road, Versailles, KY 40383 | 2014-06-11 |
| 1710259932 | Jessica Marie Rucker | Massage Therapist | 260 Crossfield Dr., Unit 2, Versailles, KY 40383 | 2012-02-03 |
| 1154657724 | Steps Ahead, Inc. | Case Manager/Care Coordinator | 500 Limestone Trce, Versailles, KY 40383 | 2009-11-02 |
| 1831393297 | Mary J Watts | Dentist | 230 Frankfort St, Ste 5, Versailles, KY 40383 | 2007-06-12 |
| 1447372263 | Harry M Watts | Dentist | 210 Crossfield Dr, Versailles, KY 40383 | 2007-04-04 |
| 1699824714 | Paula L Everhart | Social Worker | 163 Spring Run St, Versailles, KY 40383 | 2007-01-09 |
| 1457419665 | Henry M West | Family Medicine | 290 Lexington St, Versailles, KY 40383 | 2006-12-04 |
| 1588774202 | Eric L Quillen | Dentist | 156 Frankfort Street, Versailles, KY 40383 | 2006-08-30 |
| 1386677599 | Woodford Physical Therapy, Psc | Physical Therapist | 115 C Crossfield Dr., Versailles, KY 40383 | 2006-07-09 |
| 1003845751 | Woodford County | Ambulance | 86 Big Sink Rd, Versailles, KY 40383 | 2006-07-02 |
| Find all providers in zip 40383 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1861099269 | Bowling Green Psychiatry | Nurse Practitioner | 1911 Scottsville Rd Ste B, Bowling Green, KY 42104-3303 | 2020-10-08 |
| 1811594385 | Christine Young | Nurse Practitioner | 6804 Bainbridge Ct, Louisville, KY 40228-2335 | 2020-10-07 |
| 1578170890 | Rebecca O'hair | Nurse Practitioner | 500 Thames Cir, Nicholasville, KY 40356-9219 | 2020-09-30 |
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1235749581 | Melissa K Young-flynn | Nurse Practitioner | 713 Millpond Rd, Lexington, KY 40514-1570 | 2020-08-02 |
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1649889932 | Hannah Rose Wilson Gibbs | Nurse Practitioner | 326 Roland Avenue, Owenton, KY 40359 | 2020-07-23 |
| 1962020875 | Sheryl List | Nurse Practitioner | 2103 Madison Dr, Hebron, KY 41048-7399 | 2020-07-07 |
| 1619594751 | Whitney Mariah Rizzo | Nurse Practitioner | 2774 Petros Browning Rd, Rockfield, KY 42274-9762 | 2020-07-05 |
| Find all providers with the same taxonomy | ||||
| City | VERSAILLES |
| Zip Code | 40383 |
Please comment or provide details below to improve the information on BLUEGRASS BEHAVIORAL HEALTH SERVICES LLC.
| 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.