STEPHANIE ANNE WILSON


Address: 4003 Kresge Way, Suite 500, Louisville, KY 40207-4652
Phone: 5028971166

STEPHANIE ANNE WILSON (NPI# 1376940569) 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) 1376940569
Entity Type Individual
Full Name STEPHANIE ANNE WILSON
Credential APRN
Practice Address 4003 Kresge Way
Suite 500
Louisville
KY 40207-4652
Mailing Address 2700 Stanley Gault Pkwy
Ste 129
Louisville
KY 40223-5176
Practice Telephone 5028971166
Practice Fax Number 5028971461
Mailing Telephone 5022534917
Mailing Fax Number 5024895751
Enumeration Date 2014-12-03
Last Update Date 2016-03-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 3008896 KY Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
3008896 KY Physician Assistants & Advanced Practice Nursing Providers

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1801493184 Stephanie Leigh Wilson Registered Nurse 1920 E Indian School Rd Apt 2062, Phoenix, AZ 85016-6078 2020-10-08
1366049819 Stephanie Marie Cupples Wilson Dietitian, Registered 5401 Harborside Dr, Tampa, FL 33615-3664 2020-10-07
1306451091 Stephanie Wilson Specialist/Technologist 315 Turnpike St Stop 2247, North Andover, MA 01845-5800 2020-09-10
1346865888 Stephanie Wilson Licensed Practical Nurse 2701 Cumberland Rd, Odessa, TX 79762-6913 2020-06-10
1558992057 Stephanie R Wilson Occupational Therapy Assistant 5308 Wapakonata Trl Sw, Oxford, GA 30054-3335 2020-02-03
1063915528 Stephanie Wilson Case Manager/Care Coordinator 20 Olive St Ste 311, Akron, OH 44310-3189 2018-03-12
1336687144 Stephanie J. Wilson Registered Nurse 7600 S. Pulask Rd., Chicago, IL 60652 2017-02-01
1306394432 Stephanie Devon Wilson Social Worker 1933 Purple Dr, Fayetteville, NC 28314-8494 2016-09-19
1194187369 Stephanie Baisa Wilson Marriage & Family Therapist 1190 Marsh St Ste A, San Luis Obispo, CA 93401-3332 2016-03-25
1497143317 Stephanie Wilson Massage Therapist 1790 32 Nd Ave South Suite 1a, Fargo, ND 58104 2014-12-30

Office Location

Street Address 4003 KRESGE WAY
SUITE 500
City LOUISVILLE
State KY
Zip Code 40207-4652

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063415099 Adrian J Pellegrini Psychiatry & Neurology 4003 Kresge Way, Ste 224, Louisville, KY 40207-4652 2005-05-23
1821534546 Crystal Labbato Nurse Practitioner 4003 Kresge Way, Suite 100, Louisville, KY 40207-4652 2017-01-19
1255889721 Alana Darnall Nurse Practitioner 4003 Kresge Way, Suite 228, Louisville, KY 40207-4652 2016-09-14
1184026205 Wendi Suzanne Haller Nurse Practitioner 4003 Kresge Way, Suite 312, Louisville, KY 40207-4652 2014-09-19
1336572601 Baptist Health Medical Group Inc Nurse Practitioner 4003 Kresge Way, Suite 410, Louisville, KY 40207-4652 2013-08-09
1235430166 Gigi Michelle Manuel Nurse Practitioner 4003 Kresge Way, Suite 100, Louisville, KY 40207-4652 2010-11-09
1669773511 Whitney Dawn Perry Nurse Practitioner 4003 Kresge Way, Ste 500, Louisville, KY 40207-4652 2010-11-09
1215240627 Shana Cassady Nurse Practitioner 4003 Kresge Way, Suite 500, Louisville, KY 40207-4652 2010-07-15
1487984514 Baptist Health Medical Group Inc Nurse Practitioner 4003 Kresge Way, Suite 500, Louisville, KY 40207-4652 2010-01-13
1659604536 Vonnie L Rodgers Nurse Practitioner 4003 Kresge Way, Suite 221, Louisville, KY 40207-4652 2009-09-10
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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 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
1841891645 K Tierney Lanham LLC Nurse Practitioner 6431 Regency Ln, Louisville, KY 40207-2309 2020-11-06
1578192274 Brian W Oliver Nurse Practitioner 309 Iola Rd, Louisville, KY 40207-2917 2020-04-04
1942835624 Rebecca Spicer Nurse Practitioner 9805 Scarborough Ave, Louisville, KY 40272-2436 2020-03-03
1487288262 Centerpointe Health LLC Nurse Practitioner 10100 Linn Station Rd, Louisville, KY 40223-3861 2020-03-02
1750914438 Robin Elizabeth Masters Nurse Practitioner 2011 Lake Point Way Ste 202, Louisville, KY 40223-4229 2020-02-20
1629608286 Meagan Molestina Nurse Practitioner 411 E Chestnut St # 4b6b, Louisville, KY 40202-1713 2020-01-23
1255971131 Casey Lynn Potter Nurse Practitioner 411 Eaat Chestnut Street, Level 5a, Louisville, KY 40202-1713 2020-01-08
1487292033 Norton Children's Medical Group, LLC Nurse Practitioner 1930 Bishop Ln Ste 101710, Louisville, KY 40218-1921 2019-12-13
1548803273 Jessica L Withrow Nurse Practitioner 1900 Bluegrass Ave Ste 103, Louisville, KY 40215-1144 2019-10-25
1629627773 Latonya Renee Banks Nurse Practitioner 2210 Buechel Avenue, Suite 105, Louisville, KY 40218-2619 2019-09-10
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Competitor

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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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