DONNA CARRILLO (NPI# 1295729630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295729630 |
| Entity Type | Individual |
| Full Name | DONNA CARRILLO |
| Credential | APRN |
| Practice Address |
3940 Dupont Cir Louisville KY 40207-4806 |
| Mailing Address |
6801 Dixie Hwy Suite 130 Louisville KY 40258-3913 |
| Practice Telephone | 5028951111 |
| Practice Fax Number | 5028951085 |
| Mailing Telephone | 5028951111 |
| Mailing Fax Number | 5028951085 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2012-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
3002353 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78005790 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| Street Address |
3940 DUPONT CIR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518963073 | Melissa D Packwood | Physician Assistant | 3940 Dupont Cir, Louisville, KY 40207-4806 | 2005-06-21 |
| 1376953380 | Kristin M. Bianchi | Obstetrics & Gynecology | 3940 Dupont Cir, Louisville, KY 40207 | 2014-04-29 |
| 1316212301 | Lindsay Tate Gahafer | Nurse Practitioner | 3940 Dupont Cir, Louisville, KY 40207-4806 | 2012-03-09 |
| 1245271147 | Partners In Womens Health | Obstetrics & Gynecology | 3940 Dupont Cir, Louisville, KY 40207-4806 | 2006-06-09 |
| 1134112543 | James W Forrester | Obstetrics & Gynecology | 3940 Dupont Cir, Louisville, KY 40207-4806 | 2005-08-31 |
| 1205820636 | Shannon Andersen-thomas | Obstetrics & Gynecology | 3940 Dupont Cir, Louisville, KY 40207 | 2005-08-31 |
| 1629061056 | James M Link | Obstetrics & Gynecology | 3940 Dupont Cir, Louisville, KY 40207-4806 | 2005-08-31 |
| 1255324687 | Kimberly A Kernek | Obstetrics & Gynecology | 3940 Dupont Cir, Louisville, KY 40207-4806 | 2005-08-31 |
| 1821081225 | Robert C Zoller | Obstetrics & Gynecology | 3940 Dupont Cir, Louisville, KY 40207-4806 | 2005-08-31 |
| 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 | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578716361 | Kentuckiana Perinatology Psc | Nurse Practitioner | 210 E Gray St Ste 602, Louisville, KY 40202-3902 | 2008-10-24 |
| 1750474409 | Linda M. Ohlmann | Nurse Practitioner | 3900 Kresge Way #30, Louisville, KY 40207 | 2006-10-02 |
| 1669772109 | Cynthia W Canter | Nurse Practitioner | 4121 Dutchmans Ln, Louisville, KY 40207-4707 | 2010-11-01 |
| 1649433434 | Shannon Rae Bretz | Nurse Practitioner | 3900 Kresge Way, Louisville, KY 40207-4660 | 2008-07-02 |
| 1669678546 | Heather Harmon Shannon | Nurse Practitioner | 80 Health Park Dr Ste 100, Louisville, CO 80027-4644 | 2007-06-26 |
| 1376689893 | Glenda Marie Adams | Nurse Practitioner | 550 S Jackson St, Louisville, KY 40202-1622 | 2007-01-30 |
| 1285720045 | Annette Davis | Nurse Practitioner | 3900 Kresge Way, #30, Louisville, KY 40207 | 2006-10-05 |
| 1851307383 | Amy Bedingfield | Nurse Practitioner | 1067 Peachtree St, Louisville, GA 30434-1558 | 2006-08-01 |
| 1427009711 | Sibyl C Cagata | Nurse Practitioner | 3991 Dutchmans Ln, Suite 405, Louisville, KY 40207-4700 | 2006-05-12 |
| 1427033950 | Debra Minary | Nurse Practitioner | 80 Health Park Dr, Suite 100, Louisville, CO 80027-9584 | 2005-12-07 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on DONNA CARRILLO.
| 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.