THERESA ANN WILP


Address: 1221 S Broadway, Lexington, KY 40504
Phone: 8592586101

THERESA ANN WILP (NPI# 1376803676) 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) 1376803676
Entity Type Individual
Full Name THERESA ANN WILP
Credential APRN
Practice Address 1221 S Broadway
Lexington
KY 40504
Mailing Address 1221 S Broadway
Lexington
KY 40504-2701
Practice Telephone 8592586101
Practice Fax Number 8592584411
Mailing Telephone 8592586101
Mailing Fax Number 8592584411
Enumeration Date 2012-05-21
Last Update Date 2019-04-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 3007434 KY Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
3007434 KY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1031 Wellington Way, Suite 245, Lexington, KY 405131258 8592788772 8593038852

Office Location

Street Address 1221 S BROADWAY
City LEXINGTON
State KY
Zip Code 40504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528060779 Nancy L. Burandt Anesthesiology 1221 S Broadway, Lexington, KY 40504-2701 2005-06-01
1578197901 Ashlee N Swinford Nurse Anesthetist, Certified Registered 1221 S Broadway, Lexington, KY 40504-2701 2020-02-25
1104459569 Sarah M Justice Nurse Anesthetist, Certified Registered 1221 S Broadway, Lexington, KY 40504-2701 2020-02-13
1447803754 New Lexington Clinic, Psc Dietitian, Registered 1221 S Broadway, Lexington, KY 40504-2701 2019-07-17
1346724473 New Lexington Clinic Psc Internal Medicine 1221 S Broadway, Lexington, KY 40504-2701 2018-09-25
1790290831 Ashley B Arrington Nurse Anesthetist, Certified Registered 1221 S Broadway, Lexington, KY 40504-2701 2017-12-12
1306365762 Kelsey Alexandra Woods Nurse Practitioner 1221 S Broadway, Lexington, KY 40504-2701 2017-09-16
1013466523 Lauren Dice Smith Nurse Practitioner 1221 S Broadway, Lexington, KY 40504 2016-09-26
1073061768 Krista Johnson Nurse Practitioner 1221 S Broadway, Lexington, KY 40504-2701 2016-09-12
1770945560 Bethany Borders Dietitian, Registered 1221 S Broadway, Lexington, KY 40504-2701 2016-03-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740809953 Michael Jason Blocker Registered Nurse 1 St Hoseph Drive, Lexington, KY 40504 2020-04-09
1841842010 Jessica Brooke Castleberry Counselor Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 2019-07-09
1528554474 Hillcrest Pain & Spine Pllc Pain Medicine 853 Lane Allen Rd Ste 217, Lexington, KY 40504 2018-07-03
1366962474 Jessica Hope King Dentist 1330 Harrodsburg Road, Lexington, KY 40504 2017-06-21
1255861076 Mary Elizabeth Bailey Dentist 1330 Harrodsburg Rd, Lexington, KY 40504 2017-06-14
1295172211 Alan Kidon Podiatrist 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 2013-05-31
1578847554 Linda W Mcdaniel Pharmacist 2181 Harrodsburg Road, Lexington, KY 40504 2011-10-07
1578844197 Amber Kincaid Ballard Nurse Practitioner Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 2011-09-09
1104118124 Harry W Tenfelde IIi Pharmacist 2284 Versailles Rd., Lexington, KY 40504 2011-05-10
1831495506 Horizon Headache Center, Pllc Physical Therapist 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 2011-01-28
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518574235 Margaret E Lambert Nurse Practitioner 2241 Abbeywood Rd, Lexington, KY 40515-1157 2020-09-27
1811526718 Ashley Conn Nurse Practitioner 3050 Helmsdale Pl Apt 5107, Lexington, KY 40509-2452 2020-04-03
1821640483 Tracy Elizabeth Keisling Nurse Practitioner 425 Oxford Rd, Lexington, SC 29072-2270 2019-07-14
1740841345 Amy Lynn Jennings Nurse Practitioner 1760 Nicholasville Rd Ste 302, Lexington, KY 40503-1472 2019-06-25
1609439397 Kayla Elizabeth Lewis Marcum Nurse Practitioner 3101 Richmond Rd Ste 202, Lexington, KY 40509-1525 2019-04-17
1538632609 Erin Soper Nurse Practitioner 4328 Ridgewater Dr, Lexington, KY 40515-5200 2019-01-10
1841761749 Andrea Kostos Robbins Nurse Practitioner 317 Silver Creek Way, Lexington, KY 40511-8624 2018-12-17
1598251605 Lynn Marceline Beckett-lowe Nurse Practitioner 124 Pink Camellia Lane, Lexington, SC 29072 2018-07-02
1649769704 Alecia Kristy Mckellar Nurse Practitioner 132 Mclee Road, Lexington, SC 29073 2018-05-04
1083101240 Man O War Urgent Care LLC Nurse Practitioner 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 2018-04-13
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Competitor

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City LEXINGTON
Zip Code 40504

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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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