DR. NICOLE LIANA PRADO (NPI# 1730224676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730224676 |
| Entity Type | Individual |
| Full Name | DR. NICOLE LIANA PRADO |
| Credential | PSY.D. |
| Practice Address |
109 S 10th St Lexington MO 64067-1364 |
| Practice Telephone | 6602593900 |
| Mailing Telephone | 6602593900 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2017030276 | MO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23504 Lyons Ave Ste 305, Newhall, CA 913215776 | 8184690892 |
| Street Address |
109 S 10TH ST |
| City | LEXINGTON |
| State | MO |
| Zip Code | 64067-1364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043686728 | Rebecca Rae Jeske | Counselor | 109 S 10th St, Lexington, MO 64067-1364 | 2015-08-17 |
| 1720478605 | Amy Dobson | Counselor | 109 S 10th St, Lexington, MO 64067-1364 | 2015-01-29 |
| 1699013094 | Thomas R Corporon | Counselor | 109 S 10th St, Lexington, MO 64067-1364 | 2013-01-21 |
| 1396059598 | Jessi A Johnson | Counselor | 109 S 10th St, Lexington, MO 64067-1364 | 2010-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245712793 | Maria Jean Mulvey | Speech-Language Pathologist | Lexington R-v School District Office 2323a, High School Drive, Lexington, MO 64067 | 2018-08-31 |
| 1396237863 | Maegen Mone Taylor | Dental Hygienist | 547 S Business Highway 13, Lexington, MO 64067 | 2018-05-31 |
| 1922513126 | Chelsea Tyler | Occupational Therapist | 2108 Main St, Lexington, MO 64067 | 2017-12-10 |
| 1811348014 | Lea Rich | Dentist | 811a South Business 13 Hwy, Lexington, MO 64067 | 2016-06-29 |
| 1982002549 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 2309 Aull Ln, Lexington, MO 64067 | 2014-12-15 |
| 1629320296 | Lindsey Jordan Hall | Dental Hygienist | 811- A South 13 Highway, Lexington, MO 64067 | 2012-10-08 |
| 1164614053 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 811 S Business Highway 13 Ste A, Lexington, MO 64067 | 2007-08-14 |
| 1679642664 | Betsy Jill Maclaughlin | Social Worker | 525 State Hwy 13, Lexington, MO 64067 | 2006-11-06 |
| 1902909021 | Jeffrey O Johnson | Dentist | 611 S 13 Hwy, Lexington, MO 64067 | 2006-09-06 |
| 1194758987 | Penny A Dunning | Nurse Practitioner | 811a South Highway 13, Lexington, MO 64067 | 2006-07-08 |
| Find all providers in zip 64067 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486230 | Angie Fabiola Hernandez | Psychologist | 1009 Fisk Ct, Lexington, KY 40511-8369 | 2020-10-26 |
| 1548869084 | Skaggs Consulting, Pllc | Psychologist | 501 Darby Creek Rd Ste 41, Lexington, KY 40509-1671 | 2020-10-24 |
| 1801412424 | Melinda Moore | Psychologist | 144 E Lowry Ln, Lexington, KY 40503-2403 | 2020-06-19 |
| 1760948939 | True North Counseling & Development, Pllc | Psychologist | 2220 Executive Dr Ste 202, Lexington, KY 40505-4872 | 2019-02-13 |
| 1740765569 | Marlene Major LLC | Psychologist | 76 Bedford St Ste 2, Lexington, MA 02420-4640 | 2018-09-27 |
| 1447740774 | Isabel Teresa Szabo | Psychologist | 28 Cottage St, Lexington, MA 02420-2202 | 2018-05-11 |
| 1336638246 | Betty G. Doo I | Psychologist | 26 Cary Ave, Lexington, MA 02421-7710 | 2018-05-07 |
| 1639675200 | Amy Frazier | Psychologist | 120 N Eagle Creek Dr Ste 103, Lexington, KY 40509-1827 | 2018-04-03 |
| 1629590443 | Jeffrey Phillip Winer | Psychologist | 57 Bedford St Ste 230, Lexington, MA 02420 | 2017-07-13 |
| 1184172298 | Meghan L Marsac | Psychologist | 800 Rose St # Ha398, Lexington, KY 40536-7001 | 2016-09-18 |
| Find all providers in LEXINGTON | ||||
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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.