ALLISON MCKENZIE THEOBALD (NPI# 1083180905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083180905 |
| Entity Type | Individual |
| Full Name | ALLISON MCKENZIE THEOBALD |
| Credential | APRN |
| Practice Address |
6500 Preston Hwy Louisville KY 40219-1820 |
| Practice Telephone | 5028935502 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
3012345 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6500 PRESTON HWY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40219-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093715195 | Monita Chary | Internal Medicine | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2005-07-29 |
| 1295201770 | Kasey Fawbush | Nurse Practitioner | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2018-10-22 |
| 1932675865 | Pediatric and Neonatal Specialists | Pediatrics | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2018-10-18 |
| 1518456888 | Sarah Simpson | Nurse Practitioner | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2018-05-02 |
| 1538667076 | Monica Vermani Durr | Nurse Practitioner | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2018-01-30 |
| 1245762442 | Kara Lee Scott | Nurse Practitioner | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2017-03-28 |
| 1396103404 | Cynthia Lynn Williams | Nurse Practitioner | 6500 Preston Hwy, Louisville, KY 40219 | 2016-02-03 |
| 1790042901 | First Urology, Psc | Nurse Practitioner | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2012-04-12 |
| 1477875920 | Beth A Karaoud | Nurse Practitioner | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2010-02-25 |
| 1306093828 | Pollyanna Henzman Strunk | Nurse Practitioner | 6500 Preston Hwy, Louisville, KY 40219-1820 | 2008-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1174165989 | Joann Deborah Hobbs | Nurse Practitioner | 8216 Delido Rd, Louisville, KY 40219 | 2019-10-14 |
| 1962989319 | Jennifer Lynn Pinkerton | Hearing Instrument Specialist | 7326 Preston Hwy, Suite 206a, Louisville, KY 40219 | 2018-07-27 |
| 1942748447 | Melissa Freeman Emanuele | Speech-Language Pathologist | 1550 Raydale Drive, Lousville, KY 40219 | 2017-02-03 |
| 1083014013 | Christopher Maxey | Specialist/Technologist | Fern Valley Rd, Louisville, KY 40219 | 2014-08-27 |
| 1679985949 | Antwan Turner | Case Manager/Care Coordinator | 5523 Saxon Blvd, Louisville, KY 40219 | 2014-05-21 |
| 1386055168 | Kelly Larson | Case Manager/Care Coordinator | 6809 Bebe Ct., Louisville, KY 40219 | 2014-05-14 |
| 1639414626 | Prettysmilesdenturesandmorellc | Dentist | 19123 West Mcnichols Rd, Detroit, MI 40219 | 2012-12-03 |
| 1881967701 | Vickie Lynn Dixon | Homemaker | 3516 Templewood Dr., Louisville, KY 40219 | 2012-02-23 |
| 1811157555 | Tonya Lynn Frost | Chiropractor | 4300 Outer Loop Ste 10, Louisville, KY 40219 | 2008-06-16 |
| Find all providers in zip 40219 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326695255 | Norton Childrens Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-08-26 |
| 1407402209 | Elleanor Gray | Nurse Practitioner | 411 E Chestnut St Ste 645, Louisville, KY 40202-1713 | 2019-08-16 |
| 1245287440 | Tammy A Pasko | Nurse Practitioner | 234 E. Gray St., Ste. 270, Louisville, KY 40202-1903 | 2006-05-31 |
| 1013988351 | Kellie Woodruff | Nurse Practitioner | 411 E Chestnut St # Street7, Louisville, KY 40202-1713 | 2006-01-26 |
| 1639172554 | Sharon C Metcalf | Nurse Practitioner | 555 S Floyd St, Louisville, KY 40202-3801 | 2005-05-24 |
| 1619582616 | Erica Ashley Persichetti | Nurse Practitioner | 90 Health Park Dr Ste 160, Louisville, CO 80027-9742 | 2020-09-15 |
| 1295361723 | Karen A Powers | Nurse Practitioner | 411 E Chestnut St # Street7, Louisville, KY 40202-1713 | 2020-03-16 |
| 1346872074 | Elizabeth Cotton | Nurse Practitioner | 231 E Chestnut St, Louisville, KY 40202-1821 | 2020-02-11 |
| 1336771161 | Norton Children's Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2020-02-10 |
| 1689206906 | Lacey G Sanford | Nurse Practitioner | 417 Benjamin Ln Ste 101, Louisville, KY 40222-4939 | 2020-02-05 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40219 |
Please comment or provide details below to improve the information on ALLISON MCKENZIE THEOBALD.
| 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.