MELINDA DOLACK (NPI# 1184022634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184022634 |
| Entity Type | Individual |
| Full Name | MELINDA DOLACK |
| Credential | APRN |
| Practice Address |
2440 Bardstown Rd Louisville KY 40205-2123 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 5026320984 |
| Practice Fax Number | 5026320985 |
| Mailing Telephone | (615) 425-4200 |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2017-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3008836 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2440 BARDSTOWN RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40205-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871527630 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2440 Bardstown Rd, Louisville, KY 40205-2123 | 2006-07-10 |
| 1215536263 | Phuong Vu Brown | Pharmacist | 2440 Bardstown Rd, Louisville, KY 40205-2123 | 2020-10-21 |
| 1215568316 | Christopher Joseph Brown | Pharmacist | 2440 Bardstown Rd, Louisville, KY 40205-2123 | 2020-01-28 |
| 1720628365 | Anna M Loyd | Pharmacist | 2440 Bardstown Rd, Louisville, KY 40205-2123 | 2020-01-12 |
| 1427697754 | Anne Bystrek | Pharmacist | 2440 Bardstown Rd, Louisville, KY 40205-2123 | 2020-01-03 |
| 1083253686 | Rebekkah Jane Paras | Pharmacist | 2440 Bardstown Rd, Louisville, KY 40205-2123 | 2019-12-30 |
| 1770146979 | Jessica Joy Malonzo Samson | Nurse Practitioner | 2440 Bardstown Rd, Louisville, KY 40205-2123 | 2019-04-15 |
| 1972027993 | Lunden Anne Barnes | Nurse Practitioner | 2440 Bardstown Rd, Louisville, KY 40205 | 2017-08-01 |
| 1922544048 | Elizabeth Ann Obert | Nurse Practitioner | 2440 Bardstown Rd, Louisville, KY 40205-2123 | 2017-01-12 |
| 1912320987 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 2440 Bardstown Rd, Louisville, KY 40205-2123 | 2014-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
| 1609392133 | Leah Elizabeth Storch | Occupational Therapist | 2231 Wendell Ave, Louisville, KY 40205 | 2017-08-16 |
| 1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
| 1699205328 | Nathaniel George Kennedy | Physician Assistant | 3101 Bardstown Road, Sullivan University Physician Assistant Program, Louisville, KY 40205 | 2017-06-14 |
| 1225584972 | Kalpana Bhaskar | Pharmacist | 3036 Bardstown Road, Louisville, KY 40205 | 2016-08-31 |
| 1013398627 | William Wood | Hearing Instrument Specialist | 2239 Bardstown Rd., Louisville, KY 40205 | 2015-06-10 |
| 1811306707 | Alaina Rotelli | Pharmacist | 2100 Gardiner Lane, Louisville, KY 40205 | 2014-08-05 |
| 1013325760 | Jaime Alexandra Seelmeyer | Counselor | 1718 Deerwood Ave, Apt 1, Louisville, KY 40205 | 2014-07-25 |
| 1992009336 | Priscilla Freeman | Case Manager/Care Coordinator | 3171 Taylorsville Rd, 1st Floor, Louisville, KY 40205 | 2010-12-28 |
| 1457501413 | Amanda Christine Voils-levenda | Psychologist | 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 | 2008-09-26 |
| Find all providers in zip 40205 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40205 |
Please comment or provide details below to improve the information on MELINDA DOLACK.
| 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.