MARY NICOLE MOSELEY JAEGER


Address: 571 S Floyd St, Ste 342, Louisville, KY 40202-3818
Phone: 5028528470

MARY NICOLE MOSELEY JAEGER (NPI# 1467656876) 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) 1467656876
Entity Type Individual
Full Name MARY NICOLE MOSELEY JAEGER
Credential ARNP
Practice Address 571 S Floyd St
Ste 342
Louisville
KY 40202-3818
Mailing Address Po Box 909
Louisville
KY 40201-0909
Practice Telephone 5028528470
Mailing Telephone 5025880329
Mailing Fax Number 5025880326
Enumeration Date 2007-06-12
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
1112372 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY APRN 3005194 01
KY NURSE'S LICENSE (RN) 1112372 01

Office Location

Street Address 571 S FLOYD ST
STE 342
City LOUISVILLE
State KY
Zip Code 40202-3818

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801896592 Karen W Bibb Pediatrics 571 S Floyd St, Suite 342, Louisville, KY 40202-3818 2005-07-26
1407372923 Leigh Anne Stout Genetic Counselor, MS 571 S Floyd St, Louisville, KY 40202 2017-08-16
1326570995 Brooke Gustafson Student in an Organized Health Care Education/Training Program 571 S Floyd St, Ste 412, Louisville, KY 40202-3818 2017-04-01
1528590460 Matthew Dean Jackson Student in an Organized Health Care Education/Training Program 571 S Floyd St, Ste 412, Louisville, KY 40202-3818 2017-03-30
1689106494 Tyler Joseph Burr Student in an Organized Health Care Education/Training Program 571 S Floyd St, Ste. 412, Louisville, KY 40202-3818 2017-03-30
1992236418 Judith M Kabat Pediatrics 571 S Floyd St, Ste. 412, Louisville, KY 40202 2017-03-26
1851822787 Myriam Andrea Garland Pediatrics 571 S Floyd St, Suite 412, Louisville, KY 40202-3818 2017-03-22
1043752660 Kathryn Warren Genetic Counselor, MS 571 S Floyd St, Suite 100, Louisville, KY 40202-3818 2016-11-14
1225481054 Jennifer Marie Hockensmith Nurse Practitioner 571 S Floyd St, Suite #342, Louisville, KY 40202-3818 2016-07-17
1083077002 Kelsey Field Student in an Organized Health Care Education/Training Program 571 S Floyd St, Ste 412, Louisville, KY 40202-3818 2016-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972129682 Garvit Chhabra Student in an Organized Health Care Education/Training Program 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 2020-06-18
1396367009 Richele Williams Student in an Organized Health Care Education/Training Program 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 2020-05-15
1942822028 Ahmed Khaled Saleh Student in an Organized Health Care Education/Training Program 500 S Jackson St, Room 305, Louisville, KY 40202 2020-05-12
1457972952 Mir Ali Raza Talpur Student in an Organized Health Care Education/Training Program 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 2020-05-06
1316575533 Abigail Hatfield Student in an Organized Health Care Education/Training Program Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 2020-04-01
1851929210 Madison Harmon Student in an Organized Health Care Education/Training Program Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 2020-03-31
1184252041 Marianna Weaver Student in an Organized Health Care Education/Training Program 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 2020-03-27
1700347341 Charles Jake Sadle Student in an Organized Health Care Education/Training Program Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 2019-03-27
1437616794 Paladina Health, LLC Family Medicine Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 2019-02-22
1205393568 Paladina Health, LLC Family Medicine Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 2019-02-22
Find all providers in zip 40202

Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699054569 Andrea Carol Meffert Nurse Practitioner 4121 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2011-08-10
1912985516 Charlotte Rose Ipsan Nurse Practitioner 601 S Flyod St, Ste 804, Louisville, KY 40202 2006-01-04
1780282590 Lindsey Renee Bird Nurse Practitioner 231 E Chestnut St, Louisville, KY 40202-1821 2020-10-14
1710523634 Emily Michelle Anguiano Nurse Practitioner 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2019-11-26
1003451774 Elizabeth Turcotte Nurse Practitioner 200 E Chestnut St, Louisville, KY 40202-1831 2019-11-16
1013433366 Mary Kathleen Lanoue Nurse Practitioner 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2017-08-18
1811262371 Marla K Conley Nurse Practitioner 4121 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 2012-03-16
1336420215 Molly A King Nurse Practitioner 4121 Dutchmans Ln, Ste 301, Louisville, KY 40207-4707 2011-09-06
1265763361 Heather Ann Gusic Nurse Practitioner 571 S Floyd St, Ste342, Louisville, KY 40202-3818 2010-01-29
1699915694 Lela A Baker Nurse Practitioner 571 S Floyd St, Ste 342, Louisville, KY 40202-3818 2009-03-03
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Competitor

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City LOUISVILLE
Zip Code 40202

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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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