STEPHANIE FAWBUSH (NPI# 1467889840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467889840 |
| Entity Type | Individual |
| Full Name | STEPHANIE FAWBUSH |
| Practice Address |
250 E Liberty St 803 Louisville KY 40202-1530 |
| Mailing Address |
850 W Irving Park Rd Chicago IL 60613-3077 |
| Practice Telephone | 5025874576 |
| Mailing Telephone | 7739756775 |
| Mailing Fax Number | 7739753289 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164007358 | IL | Dietary & Nutritional Service Providers |
| Street Address |
250 E LIBERTY ST 803 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027719 | Aftab Ahmed | Hospitalist | 250 E Liberty St, 801, Louisville, KY 40202-1530 | 2005-07-18 |
| 1023639051 | Alexandra Joe Depriest | 250 E Liberty St, Louisville, KY 40202-1530 | 2020-04-30 | |
| 1710230180 | Dowling Consulting Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 250 E Liberty St, Suite 900, Louisville, KY 40202-1530 | 2012-10-22 |
| 1518218056 | Courtney Lynn Barron | Nurse Practitioner | 250 E Liberty St, Ste. 801, Louisville, KY 40202-1530 | 2012-09-24 |
| 1245593391 | Courtney Brooke Beyl | Nurse Practitioner | 250 E Liberty St, Suite 801, Louisville, KY 40202-1530 | 2012-06-22 |
| 1346429248 | Louisville Medical Associates | Nurse Practitioner | 250 E Liberty St, Suite 700, Louisville, KY 40202 | 2007-10-26 |
| 1710102629 | Mark O Gladstein Md Pllc | Nurse Practitioner | 250 E Liberty St, Suite 1005, Louisville, KY 40202-1538 | 2007-04-16 |
| 1538202288 | Louisville Infectious Disease and Internal Medicine | Internal Medicine | 250 E Liberty St, 800, Louisville, KY 40202-1530 | 2007-02-14 |
| 1093857542 | Mary J Evans | Registered Nurse | 250 E Liberty St, Suite 1005, Louisville, KY 40202-1530 | 2007-02-13 |
| 1518010149 | Jane Oldiges Kittle | Nurse Practitioner | 250 E Liberty St, Suite 1005, Louisville, KY 40202-1530 | 2007-01-18 |
| Find all providers in the same location | ||||
| 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 Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908727 | Laura Elizabeth Dean | Dietitian, Registered | 411 E Chestnut St Ste 544, Louisville, KY 40202-1713 | 2020-09-25 |
| 1629684907 | Jaclyn Vaughn Moore | Dietitian, Registered | 234 E Gray St Ste 164, Louisville, KY 40202-1903 | 2020-09-22 |
| 1790391118 | Elizabeth Marie Riddle | Dietitian, Registered | 4955 Norton Healthcare Blvd Ste 102, Louisville, KY 40241-2832 | 2020-09-21 |
| 1801401294 | Elizabeth Bell | Dietitian, Registered | 241 Franck Ave, Louisville, KY 40206-2544 | 2020-09-11 |
| 1235751504 | Jessica Leigh Heckroth | Dietitian, Registered | 633 E Main St Unit 558, Louisville, KY 40202-4711 | 2020-05-10 |
| 1164060356 | Jennifer Nixon | Dietitian, Registered | 3329 Wellingmoor Ave, Louisville, KY 40218-1028 | 2019-12-18 |
| 1023669025 | Olivia Nell Hoelker | Dietitian, Registered | 9105 Hassy Way, Louisville, KY 40299-6645 | 2019-09-23 |
| 1649829128 | Brooke Carroll Hendrick | Dietitian, Registered | 4506 Epinay Ct, Louisville, KY 40272-2777 | 2019-09-08 |
| 1407315153 | Shawn A. Sales | Dietitian, Registered | 1607 Bonnycastle Ave, Louisville, KY 40205-1012 | 2019-03-12 |
| 1821588443 | Catherine Boston | Dietitian, Registered | 2602 Merriwood Dr, Louisville, KY 40299-1735 | 2018-05-18 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on STEPHANIE FAWBUSH.
| 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.