BRIGETTE MCKINLEY (NPI# 1790130649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790130649 |
| Entity Type | Individual |
| Full Name | BRIGETTE MCKINLEY |
| Credential | PEER SUPPORT |
| Practice Address |
3439 Buckhorn Dr Ste. 160 Lexington KY 40515-1716 |
| Practice Telephone | 8597211634 |
| Mailing Telephone | 8597211634 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
3439 BUCKHORN DR STE. 160 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40515-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700896578 | Pamela Holland | Internal Medicine | 3439 Buckhorn Dr, Lexington, KY 40515-1716 | 2006-08-08 |
| 1801249180 | Gregory Koprowski | Counselor | 3439 Buckhorn Dr, Suite 100, Lexington, KY 40515-1716 | 2016-07-21 |
| 1497133359 | Amanda Jo Samudio | Counselor | 3439 Buckhorn Dr, Suite 160, Lexington, KY 40515-1716 | 2015-05-12 |
| 1386066512 | Derek Stewart | Counselor | 3439 Buckhorn Dr, Lexington, KY 40515-1716 | 2014-01-07 |
| 1609956838 | Tuyen T Tran | Emergency Medicine | 3439 Buckhorn Dr, Suite 100, Lexington, KY 40515-1716 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699620 | Cassandra Grace Reynolds | Occupational Therapy Assistant | 3900 Crosby Dr Apt 102, Lexington, KY 40515 | 2017-10-04 |
| 1447793401 | Audrey Mccall Logan | Counselor | 3479 Buckhorn Drive, Ste 106, Lexington, KY 40515 | 2016-11-23 |
| 1043760465 | Mary Lauren Elizabeth Willis | Pharmacist | 4251 Mooncoin Way, Lexington, KY 40515 | 2016-10-10 |
| 1417334103 | William Douglas Hacker | Pediatrics | 4856 Pleasant Grove Road, Lexington, KY 40515 | 2015-05-01 |
| 1528480340 | Frances Ann Cook | Psychologist | 4105 Heartwood Rd, Lexington, KY 40515 | 2014-01-14 |
| 1245574532 | Patricia H Woodruff | Nurse Practitioner | 3030 Brookmonte Ln, Lexington, KY 40515 | 2012-11-27 |
| 1225381064 | Tiffany Kruger | Physical Therapist | 1092 Duval St Ste 210, Lexington, KY 40515 | 2012-10-17 |
| 1356698203 | Jessika Cordell Vance-morgan | Behavioral Analyst | 945 Darda Ct, Lexington, KY 40515 | 2012-08-09 |
| 1285915363 | Southern Office Solutions | Specialist | 5060 Ivybridge Dr., Lexington, KY 40515 | 2011-09-02 |
| 1578794426 | Emilie Carter | Social Worker | 1096 Duval St Ste 140, Lexington, KY 40515 | 2009-07-27 |
| Find all providers in zip 40515 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831612027 | Natasha Lacey | Peer Specialist | 1099 S Broadway Ste 220, Lexington, KY 40504-2663 | 2017-07-19 |
| 1972119204 | Kristina Marie Keller | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-09-22 |
| 1952917288 | Krisitn Renee Wilson | Peer Specialist | 1351 Newtown Pike Bldg 3, Lexington, KY 40511-1278 | 2020-09-22 |
| 1114532025 | Stephanie Niccole Haydon | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-09-09 |
| 1558970368 | Crystal P Brown | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-07-28 |
| 1639788441 | Samantha Lee Riddell | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-07-28 |
| 1093332629 | Gabriel Allen Upchurch | Peer Specialist | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-06-30 |
| 1548885742 | Sarah Elizabeth Neal | Peer Specialist | 120 Chrysalis Ct, Lexington, KY 40508-2618 | 2020-06-12 |
| 1215551684 | James Phillip Luallen | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-06-02 |
| 1699398214 | Christin Hungate | Peer Specialist | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-05-19 |
| 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.