LISA G GLASS


Address: 3015 Wilson Ave, Louisville, KY 40211-1969
Phone: 5027744401

LISA G GLASS (NPI# 1275534091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275534091
Entity Type Individual
Full Name LISA G GLASS
Credential APRN
Practice Address 3015 Wilson Ave
Louisville
KY 40211-1969
Practice Telephone 5027744401
Practice Fax Number 5027724783
Mailing Telephone 5027744401
Mailing Fax Number 5027724783
Enumeration Date 2005-08-02
Last Update Date 2014-10-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
3002970 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AETNA 7719001 01
BLUE ACCESS/BLUE PREF. 000000066843 01
HUMANA 61-1708562D 01
KY 78029709 05

Other Providers LISA GLASS

NPI Name Taxonomy Address Enumeration
1962980334 Lisa Michelle Glass Occupational Therapist 42235 County Road 390, Bloomingdale, MI 49026-8753 2018-07-29
1548656390 Lisa Glass Student in an Organized Health Care Education/Training Program 900 23rd St Nw, Washington, DC 20037-2342 2015-04-08
1154521177 Lisa Marie Glass Internal Medicine 1500 East Medical Center Drive, 3rd Floor Taubman Center Recp D, Ann Arbor, MI 48109-5362 2007-07-18
1700971405 Lisa G Glass Technician, Cardiology 100 S Bliss Ave, Tahlequah, OK 74464-2512 2006-10-04

Office Location

Street Address 3015 WILSON AVE
City LOUISVILLE
State KY
Zip Code 40211-1969

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083215362 Yazmine Jaquez Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211-1969 2020-11-04
1982211405 Domini Williams Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211-1969 2020-09-29
1497361091 Treana Redd Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211-1969 2020-09-18
1356954366 Janneve Sankawulo Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211-1969 2020-08-28
1588274260 Robyn May Dentist 3015 Wilson Ave, Louisville, KY 40211-1969 2020-08-06
1124638184 Symone Stephens Registered Nurse 3015 Wilson Ave, Louisville, KY 40211-1969 2020-08-05
1275151292 Park Duvalle Community Health Center, Inc Clinic/Center 3015 Wilson Ave, Louisville, KY 40211-1969 2020-07-07
1598312415 Elissa Grider Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211-1969 2019-08-26
1730733783 Mark A Bush Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211 2019-07-29
1407419237 Gina M Beckford Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211 2019-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942792940 Kare LLC Dentist 2500 W Broadway Ste 500, Louisville, KY 40211 2018-06-05
1265943716 Practicare Home Care Services, LLC Nurse Practitioner 1667 Russell Lee Dr, Louisville, KY 40211 2017-10-23
1518478221 Latoya Samantha Hall Counselor 646 South 36th Street, Louisville, KY 40211 2017-10-20
1003071200 Mark Cassol Md Psc Ophthalmology 2600 W. Broadway, Suite 105, Louisville, KY 40211 2008-07-28
1194919548 Hardin Housing Corp Assisted Living Facility 2035 S 41st St, Louisville, KY 40211 2007-08-29
1184770562 Eta Day Care Center LLC Case Management 724 So 44th Street, Louisville, KY 40211 2007-01-26
1871571356 Alice C Gunnison Physician Assistant 2406 West Broadway, Jencare Neighborhood Medical Center West Broadway, LLC, Louisville, KY 40211 2006-01-05
1730694266 Orchid House, Inc. Early Intervention Provider Agency 703 S 31st St, Louisville, KY 40211 2017-12-06
1891188785 Mary Jo Pitts Registered Nurse 2406 West Broadway, Jencare Neighborhood Medical Center West Broadway, LLC, Louisville, KY 40211 2015-03-17
1164717492 Priscilla Nana Ama Owusu Internal Medicine 2406 W Broadway, Louisville, KY 40211 2011-06-15
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477177533 Obstetrix Medical Group of Colorado, P.C. Nurse Practitioner 90 Health Park Dr Ste 390, Louisville, CO 80027-9742 2020-06-04
1063913986 Tara Lynn Denton Nurse Practitioner 1425 W Broadway, Louisville, KY 40203-2059 2018-02-26
1093107781 Lecresha Sewell Nurse Practitioner 4123 Dutchmans Ln Ste 250, Louisville, KY 40207-4707 2015-03-04
1679824882 Cheryl Yvette Wofford Nurse Practitioner 3307 Breckenridge Ln, Louisville, KY 40220-3213 2012-09-27
1215182951 Womens Center for Gynecology and Bladder Disorders Nurse Practitioner 5512 Bardstown Rd, Louisville, KY 40291-1910 2008-11-21
1063488690 Polly Kaelin Mackey Nurse Practitioner 4100 Taylor Blvd, Louisville, KY 40215-2342 2006-02-24
1568442291 Marsha Elaine Fields Nurse Practitioner 3015 Wilson Ave., Louisville, KY 40211-1969 2006-01-19
1710981667 Janice N Eklund Nurse Practitioner 8113 Bardstown Rd, Louisville, KY 40291-3441 2005-06-09
1932669306 Jessica Wren Deis Nurse Practitioner 2237 Hikes Ln, Louisville, KY 40218-2203 2019-03-22
1710412077 Jordan Hatchett Nurse Practitioner 315 E Broadway, 4th Floor, Louisville, KY 40202-3700 2017-04-25
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Competitor

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City LOUISVILLE
Zip Code 40211

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Dataset Information

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.

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