White Owl Recovery

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

WHITE OWL RECOVERY

Practice address

8699 S US Highway 25
Corbin, KY 40701-4973

Phone

(859) 229-4647

NPI assigned

Apr 1, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Stacey Montgomery, RHIT, CPMA, CPC

Title

Managing Partner

Phone

(859) 229-4647

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1043950322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 GREENDALE RD UNIT 2103",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405118320",
            "telephone_number": "859-229-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8699 S US HIGHWAY 25",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407014973",
            "telephone_number": "859-229-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OWL RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "859-229-4647",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RHIT,  CPMA, CPC"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merry Jill West, RN, MSN
• Thomas F Whealton, DO
• Candace Gabrielle Wheelehan, BS
• Katherine Lanway Whitaker, D.M.D
• Tiffany Whitaker
• Brooke Lindsey White, BS
• Cecelia Elaine White, MA, LPP
• John Patrick White
• Joy Lynne White, MS, CPP
• Tyrus Michael White Jr., MD

• All providers in Corbin, KY
• Addiction Medicine (Psychiatry & Neurology) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.