Tabatha Wireman

Key facts

NPI

1457409591

Entity type

Individual (NPI type 1)

Primary specialty

Counselor 101Y00000X

Practice address

3701 Lansdowne Drive
Ashland, KY 41102

Phone

(606) 324-3005

Fax

(606) 329-1530

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 7, 2014.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1457409591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411050790",
            "telephone_number": "606-329-8588",
            "fax_number": "606-329-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 LANSDOWNE DRIVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41102",
            "telephone_number": "606-324-3005",
            "fax_number": "606-329-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIREMAN",
        "first_name": "TABATHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30610026",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

• Brittany Wilson
• David Arthur Wilson
• Paige L Wines
• Caitlin Winkler, MSW, LCSW
• Stephanie Wireman
• April Withrow, LISW-S
• Kory Witkus
• Margaret G Witten, BCBA
• Anthony James Womack, PHARM.D.
• Women First, PLLC

All providers in Ashland, KY · Counselor in Kentucky