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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AETNA | 7719001 | 01 | |
BLUE ACCESS/BLUE PREF. | 000000066843 | 01 | |
HUMANA | 61-1708562D | 01 | |
KY | 78029709 | 05 |
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 |
Street Address |
3015 WILSON AVE |
City | LOUISVILLE |
State | KY |
Zip Code | 40211-1969 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 40211 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
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 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40211 |
Please comment or provide details below to improve the information on LISA G GLASS.
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.