JAYLYNN STAR GRAHAM (NPI# 1821556903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821556903 |
| Entity Type | Individual |
| Full Name | JAYLYNN STAR GRAHAM |
| Credential | PLMHP, PCMSW |
| Practice Address |
1611 C Ave Kearney NE 68847-6142 |
| Mailing Address |
320 W 24th St Kearney NE 68845-5331 |
| Practice Telephone | 3086988190 |
| Mailing Telephone | 3086988190 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
11608 | NE | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4211 20th Ave, Kearney, NE 688458255 | 3086988220 |
| Street Address |
1611 C AVE |
| City | KEARNEY |
| State | NE |
| Zip Code | 68847-6142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174025340 | Kelli Ann Urbanek | Registered Nurse | 1611 C Ave, Kearney, NE 68847-6142 | 2018-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427506419 | Mckenzie Rae Behrendt | Occupational Therapist | 3219 Central Ave Ste 105, Kearney, NE 68847 | 2016-09-19 |
| 1912366816 | Rylee Anne Horsley | Nurse Practitioner | 5609 1st Avenue Suite B, Kearney, NE 68847 | 2016-02-19 |
| 1255626321 | Jody Lynn Angel-trejo | Counselor | 15 W 22nd St, Kearney, NE 68847 | 2011-06-16 |
| 1881985646 | Med-care, Inc | Specialist | 920 E 56th, Kearney, NE 68847 | 2011-04-28 |
| 1396979985 | Brad Henry Greisen | Registered Nurse | 115 East 52nd St, Kearney, NE 68847 | 2009-05-11 |
| 1528221520 | Andrea Christine Johnson | Physician Assistant | 10 East 31st Street, Kearney, NE 68847 | 2008-07-09 |
| 1528236189 | Morgan Medical LLC | Durable Medical Equipment & Medical Supplies | 3819 2nd Avenue, Kearney, NE 68847 | 2008-02-18 |
| 1134307358 | Linda Kay Shaw | Counselor | 904 E. 25th, Kearney, NE 68847 | 2008-02-11 |
| 1528245669 | David Emst Jenny | General Practice | 819 East 48th St, Kearney, NE 68847 | 2008-01-30 |
| 1386827855 | Nathaniel Alan Gaunt | Chiropractor | 218 W 42nd St, Kearney, NE 68847 | 2007-12-07 |
| Find all providers in zip 68847 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570524 | Patricia S Bennett | Social Worker | 4611 N Ave, Kearney, NE 68847-8160 | 2020-05-22 |
| 1427698174 | Lori Mccollough | Social Worker | 310 W 24th St, Kearney, NE 68845-5331 | 2020-01-10 |
| 1598224990 | Jessica Lynn Walters | Social Worker | 915 W 35th St, Kearney, NE 68845-8017 | 2019-03-15 |
| 1396204756 | Jessica Leigh Grasz | Social Worker | 300 W 24th St, Kearney, NE 68845-5345 | 2019-03-15 |
| 1245798495 | Lori Mcarthur | Social Worker | 320 W 24th St, Kearney, NE 68845-5331 | 2019-03-06 |
| 1336607704 | Tara Hiatt | Social Worker | 320 W 24th St, Kearney, NE 68845-5331 | 2019-03-05 |
| 1619461878 | Morgan Bird | Social Worker | 320 W 24th St, Kearney, NE 68845-5331 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988325 | Melissa Ann Jansen | Social Worker | Mission Middle School, Bellevue, NE 68005 | 2020-10-06 |
| 1902446024 | Patrice Mcshane-jewell | Social Worker | 1100 S 48th St, Lincoln, NE 68510-4812 | 2020-01-07 |
| 1164997011 | Erica Susan Bush | Social Worker | 4669 Poppleton Ave, Omaha, NE 68106-2045 | 2018-10-08 |
| 1750865101 | Leanna Christine Johnston | Social Worker | 2115 Burdette St, Omaha, NE 68110-2335 | 2018-09-21 |
| 1003390915 | Cari Kenney | Social Worker | 5618 N 14th Ave, Omaha, NE 68110-1134 | 2018-09-18 |
| 1497238489 | Danielle Haas | Social Worker | 5625 N 28th Ave, Omaha, NE 68111-1765 | 2018-09-14 |
| 1124501341 | Monique Visocky | Social Worker | 4110 N 36th St, Omaha, NE 68111 | 2018-09-13 |
| 1679056956 | Rachel Evans | Social Worker | 2906 N 30th St, Omaha, NE 68111-3101 | 2018-09-12 |
| 1508349887 | Elizabeth Sechrest | Social Worker | 5101 S 17th St, Omaha, NE 68107-3047 | 2018-09-12 |
| 1376026245 | Abby Jo Bjornsen | Social Worker | 5300 George B Lake Pkwy, Elkhorn, NE 68022-6483 | 2018-09-07 |
| Find all providers with the same taxonomy | ||||
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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.