PAMELA SUE DALE (NPI# 1205172970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205172970 |
| Entity Type | Individual |
| Full Name | PAMELA SUE DALE |
| Credential | APRN |
| Practice Address |
1120 Cristland Rd Louisville KY 40214-4150 |
| Mailing Address |
12201 Bluegrass Pkwy Louisville KY 40299-2361 |
| Practice Telephone | 5023670104 |
| Practice Fax Number | 5023685208 |
| Mailing Telephone | 5025687364 |
| Mailing Fax Number | 5025687136 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2017-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
3007761 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100362470 | 05 |
| Street Address |
1120 CRISTLAND RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40214-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174516751 | Arif Nazir | Internal Medicine | 1120 Cristland Rd, Louisville, KY 40214-4150 | 2005-08-29 |
| 1164922688 | Deborah Ann Zinsius | Nurse Practitioner | 1120 Cristland Rd, Louisville, KY 40214-4150 | 2018-02-21 |
| 1275087850 | Mary Lin Corbett | Nurse Practitioner | 1120 Cristland Rd, Louisville, KY 40214-4150 | 2016-08-11 |
| 1891986170 | Lp Louisville South LLC | Skilled Nursing Facility | 1120 Cristland Rd, Louisville, KY 40214-4150 | 2007-08-05 |
| 1437139136 | Hqm of Meadows South, LLC | Skilled Nursing Facility | 1120 Cristland Rd, Louisville, KY 40214-4150 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058659 | Abcdentistry | Clinic/Center | 5316 S 3rd St, Louisville, KY 40214 | 2018-03-28 |
| 1538591300 | Byrne Dental,psc | Dentist | 4739 So. Third Street, Louisville, KY 40214 | 2013-08-05 |
| 1205110400 | Michael Wayne Probst | Pharmacist | 5201 South Third Street, Louisville, KY 40214 | 2011-10-06 |
| 1871876920 | Cindy Eillene Ohlmann | Pharmacist | 5400 New Cut Road, Louisville, KY 40214 | 2011-09-26 |
| 1801129960 | Deborah Suzanne Slusher | Speech-Language Pathologist | 109 Seneca Trail, Louisville, KY 40214 | 2009-09-08 |
| 1255592267 | Mitisha Nichole Martin | Dentist | 5316 S. 3rd Street, Louisville, KY 40214 | 2008-06-23 |
| 1588862361 | Kentucky Eye Surgery Associates Psc | Ophthalmology | 4940 Hazelwood Avenue, Louisville, KY 40214 | 2007-07-03 |
| 1558565739 | James Latroy Burks | Counselor | 927 Southview Rd, Louisville, KY 40214 | 2007-06-12 |
| 1770792475 | Kimberly Lynn Wheatley | Physical Therapist | 250 Kenwood Hill Road, Louisville, KY 40214 | 2007-05-21 |
| 1821219601 | Courtney Marie Smith | Speech-Language Pathologist | 3222 Rolling Oak Blvd, Louisville, KS 40214 | 2007-05-01 |
| Find all providers in zip 40214 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914040 | The Ortho Np, LLC | Nurse Practitioner | 1904 Meadowgate Ln, Louisville, KY 40223-1122 | 2020-02-15 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1699282988 | Victoria Michelle Jones | Nurse Practitioner | 7004 Austinwood Rd, Louisville, KY 40214-5930 | 2018-01-08 |
| 1295100345 | Ashley Elizabeth Summers | Nurse Practitioner | 701 Executive Park, Louisville, KY 40207 | 2015-12-01 |
| 1740608082 | Margaret Hamilton | Nurse Practitioner | 4938 Brownsboro Rd Ste 206, Louisville, KY 40222-6385 | 2014-04-03 |
| 1033535828 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 16605 Chestnut Glen Pl, Louisville, KY 40245 | 2014-03-17 |
| 1356778237 | Rachel Keith-weiss | Nurse Practitioner | 580 S Preston St, Baxter II Rm 204d, Louisville, KY 40202-1756 | 2013-10-09 |
| 1598010852 | Hollis Veronica Edwards | Nurse Practitioner | 550 S Jackson St Fl 1, Louisville, KY 40202 | 2012-07-23 |
| 1578865267 | Sarah Kressy | Nurse Practitioner | 90 Health Park Dr Ste 320, Louisville, CO 80027-9742 | 2010-12-01 |
| 1780909259 | Deborah Diane Knight-williams | Nurse Practitioner | 405 Cambridge Station Rd, Wmlnc, Louisville, KY 40223-3362 | 2010-03-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40214 |
Please comment or provide details below to improve the information on PAMELA SUE DALE.
| 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.