Children'S Advocacy Center of the Bluegrass

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

13000054 Issued in KY

Legal business name

CHILDREN'S ADVOCACY CENTER OF THE BLUEGRASS

Practice address

183 Walton Ave
Lexington, KY 40508-2315

Phone

(859) 225-5437

Fax

(859) 225-1102

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kelly Maynard Roberts, MSW

Title

Executive Director

Phone

(859) 514-1566

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306987755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 WALTON AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082315",
            "telephone_number": "859-225-5437",
            "fax_number": "859-225-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 WALTON AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082315",
            "telephone_number": "859-225-5437",
            "fax_number": "859-225-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S ADVOCACY CENTER OF THE BLUEGRASS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MAYNARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "859-514-1566",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "KY",
            "license": "13000054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Rodolfo Childers, PA-C
• Krista M Childers, OTR/L
• Kyle Jamison Childers, M.D.
• Sharon Katherine Childers
• Steven Zachariah Childers
• Mattie Childress, PA-C
• Daniel R Childs Jr., MASTERS
• Ta'Naisa Childs, RBT
• Farrah Chilet, MD
• Fadzai Chinyengetere, MD

• Voluntary or Charitable Agency in Lexington, KY
• Providers in Lexington, KY by specialty
• Voluntary or Charitable Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.