ELAINE B. JIVIDEN


Address: 1000 Ashland Dr Ste 301, Ashland, KY 41101-7084
Phone: 6063260322

ELAINE B. JIVIDEN (NPI# 1881919975) 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) 1881919975
Entity Type Individual
Full Name ELAINE B. JIVIDEN
Credential ARNP
Practice Address 1000 Ashland Dr Ste 301
Ashland
KY 41101-7084
Mailing Address Po Box 1447
Ashland
KY 41105-1447
Practice Telephone 6063260322
Practice Fax Number 6063269809
Mailing Telephone 6063260322
Mailing Fax Number 6063269809
Enumeration Date 2010-03-31
Last Update Date 2010-03-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
6411S KY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1000 ASHLAND DR STE 301
City ASHLAND
State KY
Zip Code 41101-7084

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548270234 Sarah A. Williams Psychologist 1000 Ashland Dr Ste 301, Ashland, KY 41101-7097 2006-08-08
1457812539 Timothy Ryan Taylor Nurse Practitioner 1000 Ashland Dr Ste 301, Ashland, KY 41101-7097 2019-03-29
1225502206 Caitlin Winkler Social Worker 1000 Ashland Dr Ste 301, Ashland, KY 41101-7097 2019-01-14
1275995912 Deann Brown Physician Assistant 1000 Ashland Dr Ste 301, Ashland, KY 41101-7097 2016-03-22
1295109973 Tera Lynn Hicks Counselor 1000 Ashland Dr Ste 301, Ashland, KY 41101-7097 2015-11-18
1578692687 Regional Psychotherapy Services, Inc. Counselor 1000 Ashland Dr Ste 301, Ashland, KY 41101-7097 2007-03-05

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NPI Name Taxonomy Address Enumeration
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1174068662 Lea Ann Reeves-gollihue Counselor 1701 Central Ave., Ste. 250, Ashland, KY 41101 2016-12-20
1245786078 Lindsay Marie Hagerman Respiratory Therapist, Registered 2413 Bradley Drive, Ashland, KY 41101 2016-08-31
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1740562198 Cecelia Rose Howard Nurse Practitioner 208 Oak St 202, Ashland, OR 97520-1828 2011-09-12
1063603389 Donna M Markle Nurse Practitioner Ohsu School of Nursing, 1250 Siskiyou Blvd, Ashland, OR 97520 2007-08-05
1811329006 David L Mischel Nurse Practitioner 1615 Maple Ln, Ashland, WI 54806-3610 2013-07-30
1578833828 Ellen Elaine Tinsley Nurse Practitioner 112 England St, Ashland, VA 23005-2083 2012-01-04

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NPI Name Taxonomy Address Enumeration
1134720634 Lauren Ann Thacker Nurse Practitioner 648 Stonehenge Drive, Pikeville, KY 41501 2020-11-03
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1811594385 Christine Young Nurse Practitioner 6804 Bainbridge Ct, Louisville, KY 40228-2335 2020-10-07
1578170890 Rebecca O'hair Nurse Practitioner 500 Thames Cir, Nicholasville, KY 40356-9219 2020-09-30
1255948154 Kathleen B Berghausen Nurse Practitioner 4112 Fern Valley Rod, Louisville, KY 40219 2020-09-25
1235749581 Melissa K Young-flynn Nurse Practitioner 713 Millpond Rd, Lexington, KY 40514-1570 2020-08-02
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1649889932 Hannah Rose Wilson Gibbs Nurse Practitioner 326 Roland Avenue, Owenton, KY 40359 2020-07-23
1962020875 Sheryl List Nurse Practitioner 2103 Madison Dr, Hebron, KY 41048-7399 2020-07-07
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Competitor

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City ASHLAND
Zip Code 41101

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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