JOHNNA C SHOWN


Address: 120 Executive Park, Louisville, KY 40207
Phone: 5028557200

JOHNNA C SHOWN (NPI# 1316398977) 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) 1316398977
Entity Type Individual
Full Name JOHNNA C SHOWN
Credential APRN, FNP-C
Practice Address 120 Executive Park
Louisville
KY 40207
Mailing Address 120 Executive Park
Louisville
KY 40207-4201
Practice Telephone 5028557200
Practice Fax Number 5028557201
Mailing Telephone 5024099925
Mailing Fax Number 5029199780
Enumeration Date 2016-06-24
Last Update Date 2019-01-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
3010319 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 300009605 05
AETNA PIN 6043312 01
ANTHEM PIN 000001083714 01
KY 7100465120 05
CARESOURCE ID CS1811300243 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
4001 Dutchmans Ln, Louisville, KY 402074714 5028931010

Office Location

Street Address 120 EXECUTIVE PARK
City LOUISVILLE
State KY
Zip Code 40207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508862202 Lisa M Schmidt Nurse Practitioner 120 Executive Park, Louisville, KY 40207 2005-06-27
1568012896 Tracey Frederick Nurse Practitioner 120 Executive Park, Louisville, KY 40207-4201 2019-09-18
1538672373 Michele Mcclure Nurse Practitioner 120 Executive Park, Louisville, KY 40207-4201 2017-11-15
1467840439 Mary Tonini Nurse Practitioner 120 Executive Park, Louisville, KY 40207-4201 2014-12-29
1306280177 Commonwealth Pain Associates, Pllc Anesthesiology 120 Executive Park, Louisville, KY 40207 2013-04-24
1205187861 Melanie Dawn Moore Nurse Practitioner 120 Executive Park, Louisville, KY 40207-4201 2012-09-24
1366751455 Nicholas Bryce Mullins Nurse Practitioner 120 Executive Park, Louisville, KY 40207-4201 2010-10-07
1780909952 Jenna Leigh Dismore Wrinkles Anesthesiology 120 Executive Park, Louisville, KY 40207-4201 2010-03-31
1679615686 Stephen Kyle Young Anesthesiology 120 Executive Park, Louisville, KY 40207 2007-02-13
1063583268 James W Jackson Jr. Anesthesiology 120 Executive Park, Louisville, KY 40207 2006-11-11
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

Search similar providers

City LOUISVILLE
Zip Code 40207

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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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