JUDY DILLARD


Address: 2100 Chambers Drive, Booneville, MS 38829
Phone: 6627283137

JUDY DILLARD (NPI# 1770944977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770944977
Entity Type Individual
Full Name JUDY DILLARD
Credential CPSS
Practice Address 2100 Chambers Drive
Booneville
MS 38829
Mailing Address Po Box 180
Tishomingo
MS 38873-0180
Practice Telephone 6627283137
Mailing Telephone 6625965594
Enumeration Date 2016-03-15
Last Update Date 2016-03-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist 91 MS Other Service Providers

Office Location

Street Address 2100 CHAMBERS DRIVE
City BOONEVILLE
State MS
Zip Code 38829

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962029249 Ortho Express Holding Company, LLC Clinic/Center 608 W Church St, Booneville, MS 38829 2020-07-02
1073142600 Chelsea Cara Mcmillin Registered Nurse 2014 C East Chambers Drive, Booneville, MS 38829 2020-04-06
1396210274 Hooper Transportation LLC Private Vehicle 105 Jacinto Heights, No 2, Booneville, MS 38829 2018-10-08
1699251314 John L Hooper Driver 105 Jacinto Heights No 2, Booneville, MS 38829 2018-07-16
1750744389 Jeni Ramey Social Worker 214 Dogwood Estates, Booneville, MS 38829 2016-03-31
1508253295 Mary Grace Hancock Internal Medicine 202 N 1st St Ste B, Booneville, MS 38829 2015-04-20
1508042722 Mary Dean Stone Registered Nurse 2100 East Chamberss, Booneville, MS 38829 2008-01-17
1144406430 Amy Cole Registered Nurse 2100 East Chambers, Booneville, MS 38829 2008-01-16
1972715118 Rita D. Jones Nurse Practitioner 1907 South Lake Street, Booneville, MS 38829 2007-05-03
1184844466 Kellye Garrett Nurse Practitioner 2100 East Chambers Drive, Booneville, MS 38829 2007-04-27
Find all providers in zip 38829

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336632975 Tiaonia Alexis Williams Peer Specialist 609 E Church St, Booneville, MS 38829-3711 2018-06-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497387641 Redimere Recovery Resources LLC Peer Specialist 4646 Meadow Lake Dr, Tupelo, MS 38801-7928 2020-02-05
1760082580 Kimberly Eve Spence Peer Specialist 152 Highway 7 S, Oxford, MS 38655-5392 2020-10-30
1508470121 Hannah Olivia Booker Peer Specialist 4905 Telephone Rd, Pascagoula, MS 39567-1823 2020-09-01
1134733967 Elizabeth Ann Shepard-bynum Peer Specialist 3407 Shamrock Ct, Gautier, MS 39553-5337 2020-08-31
1801405964 Elizabeth Moran Peer Specialist 1600 Broad Ave, Gulfport, MS 39501-3603 2020-07-24
1013526177 June Boudreaux Peer Specialist 1600 Broad Ave, Gulfport, MS 39501-3603 2020-07-24
1316555329 Madeline Nicklas Peer Specialist 1600 Broad Ave, Gulfport, MS 39501-3603 2020-07-15
1962031468 Frank Pace Peer Specialist 152 Highway 7 S, Oxford, MS 38655-5392 2020-04-06
1982230058 Hannah Jade Mixon Peer Specialist 152 Highway 7 S, Oxford, MS 38655-5392 2020-03-20
1902430887 Telena T Harmon Peer Specialist 3452 Pascagoula St Ste 3, Pascagoula, MS 39567-3203 2020-02-28
Find all providers with the same taxonomy

Competitor

Search similar providers

City BOONEVILLE
Zip Code 38829

Improve Information

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Dataset Information

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.

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