JERRY LITTLE (NPI# 1710097712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710097712 |
| Entity Type | Individual |
| Full Name | JERRY LITTLE |
| Credential | BA |
| Practice Address |
118 River Dr Pikeville KY 41501-1597 |
| Mailing Address |
104 S Front Ave Prestonsburg KY 41653-1614 |
| Practice Telephone | 6064323143 |
| Practice Fax Number | 6064375412 |
| Mailing Telephone | 6068868572 |
| Mailing Fax Number | 6068864433 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
118 RIVER DR |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501-1597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588674287 | Dorothy Holian | Psychologist | 118 River Dr, Pikeville, KY 41501-1597 | 2006-08-08 |
| 1730688359 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 118 River Dr, Pikeville, KY 41501-1597 | 2018-02-09 |
| 1730368416 | Felecia D. Kilgore | Counselor | 118 River Dr, Pikeville, KY 41501-1597 | 2007-10-30 |
| 1114106895 | Andrea Kneal Meade | Counselor | 118 River Dr, Pikeville, KY 41501-1597 | 2007-10-30 |
| 1245438407 | Tasha Mullins | Counselor | 118 River Dr, Pikeville, KY 41501-1597 | 2007-07-10 |
| 1992859813 | Susan Yonts | Counselor | 118 River Dr, Pikeville, KY 41501-1597 | 2007-01-22 |
| 1720131907 | Cindy Akers | Day Training/Habilitation Specialist | 118 River Dr, Pikeville, KY 41501-1597 | 2007-01-19 |
| 1124171319 | Melissa Blankenship | Registered Nurse | 118 River Dr, Pikeville, KY 41501-1597 | 2007-01-19 |
| 1558414755 | Walter Lane | Counselor | 118 River Dr, Pikeville, KY 41501-1597 | 2007-01-19 |
| 1831252709 | Nancy Gilliam | Licensed Practical Nurse | 118 River Dr, Pikeville, KY 41501-1597 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| Find all providers in zip 41501 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205847233 | Barry D. Hall | Day Training/Habilitation Specialist | 160 Douglas Pk, Pikeville, KY 41501 | 2006-08-11 |
| 1669483699 | Willa Mae Hall | Day Training/Habilitation Specialist | 160 Douglas Park, Pikeville, KY 41501 | 2006-08-11 |
| 1407093420 | James Meade | Day Training/Habilitation Specialist | 160 Douglas Park, Pikeville, KY 41501 | 2009-01-13 |
| 1720131907 | Cindy Akers | Day Training/Habilitation Specialist | 118 River Dr, Pikeville, KY 41501-1597 | 2007-01-19 |
| 1043320047 | Ann M. Francis | Day Training/Habilitation Specialist | 118 River Dr, Pikeville, KY 41501-1597 | 2006-08-30 |
| 1801906821 | Anita A. Sword | Day Training/Habilitation Specialist | 118 River Dr, Pikeville, KY 41501-1597 | 2006-08-30 |
| 1598875536 | Terri Moore | Day Training/Habilitation Specialist | 118 River Dr, Pikeville, KY 41501-1597 | 2006-08-30 |
| 1154431112 | Emily R. Webb | Day Training/Habilitation Specialist | 118 River Dr, Pikeville, KY 41501-1597 | 2006-08-30 |
| 1720198724 | Priscillia R. Presley | Day Training/Habilitation Specialist | 118 River Dr, Pikeville, KY 41501-1597 | 2006-08-30 |
| 1003926064 | Lola J. Coleman | Day Training/Habilitation Specialist | 118 River Dr, Pikeville, KY 41501-1597 | 2006-08-30 |
| Find all providers in PIKEVILLE | ||||
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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.