DALE VINCENT (NPI# 1205164936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205164936 |
| Entity Type | Individual |
| Full Name | DALE VINCENT |
| Credential | ARNP |
| Practice Address |
3991 Dutchmans Ln Norton Suburban Medical Plaza II, Suite 405 Louisville KY 40207-4700 |
| Mailing Address |
315 E Broadway Louisville KY 40202-3700 |
| Practice Telephone | 5028993366 |
| Practice Fax Number | 5028993455 |
| Mailing Telephone | 5026292500 |
| Mailing Fax Number | 5026292055 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2016-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6271P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100100640 | 05 | |
| KY | LICENSE | 3006271 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972564250 | Dale C Vincent | Radiology | 1103 Sara Swamy Dr, Sherman, TX 75090-1779 | 2006-03-28 |
| 1235120643 | Dale Stewart Vincent | Internal Medicine | 1 Jarrett White Rd, Attn: Mchk-qs, Tripler Amc, HI 96859-5001 | 2005-11-03 |
| Street Address |
3991 DUTCHMANS LN NORTON SUBURBAN MEDICAL PLAZA II, SUITE 405 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769341 | Daniel T Maurer | Orthopaedic Surgery | 3991 Dutchmans Ln, Suite 208, Louisville, KY 40207-4700 | 2005-06-09 |
| 1851720577 | Ashley Elizabeth Knable | Nurse Practitioner | 3991 Dutchmans Ln, Suite 310, Louisville, KY 40207-4700 | 2013-11-04 |
| 1639445513 | John Perpich | Pharmacist | 3991 Dutchmans Ln, Louisville, KY 40207-4700 | 2012-03-26 |
| 1477846798 | Community Medical Associates, Inc. | Durable Medical Equipment & Medical Supplies | 3991 Dutchmans Ln, Ste. 208, Louisville, KY 40207 | 2011-05-19 |
| 1720388010 | Evelyn Marrett Beckman | Nurse Practitioner | 3991 Dutchmans Ln, Suite 405, Louisville, KY 40207-4700 | 2010-11-02 |
| 1407018187 | Mark Paul Bazant | Psychiatry & Neurology | 3991 Dutchmans Ln, Suite 310, Louisville, KY 40207-4700 | 2008-06-25 |
| 1831358506 | Geeta Aruna Ganesh | Psychiatry & Neurology | 3991 Dutchmans Ln, Suite 310, Louisville, KY 40207-4700 | 2008-06-06 |
| 1013193077 | Lambert, Klamer and Gupta, Psc | Surgery | 3991 Dutchmans Ln, Suite 103, Louisville, KY 40207-4700 | 2008-01-21 |
| 1821273830 | Kimberly Michele Kisegy | Nurse Practitioner | 3991 Dutchmans Ln, Louisville, KY 40207-4700 | 2008-01-09 |
| 1720275332 | Rhonda D. Casey | Clinical Nurse Specialist | 3991 Dutchmans Ln, Suite 405, Louisville, KY 40207-4700 | 2007-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| 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 | 40207 |
Please comment or provide details below to improve the information on DALE VINCENT.
| 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.