KRISTINA M WAKEMAN (NPI# 1518385707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518385707 |
| Entity Type | Individual |
| Full Name | KRISTINA M WAKEMAN |
| Practice Address |
530 S Jackson St Louisville KY 40202-1675 |
| Mailing Address |
Po Box 909 Louisville KY 40201-0909 |
| Practice Telephone | 5028521816 |
| Mailing Telephone | 5025880325 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
TP207 | KY | Allopathic & Osteopathic Physicians |
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
68931 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Highland Ave, Madison, WI 53792 | 6082638443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356652861 | Kristina Mary Wakeman | Physical Therapist | St Cloud Hospital, 1406 6th Avenue North, Saint Cloud, MN 56303-1901 | 2010-06-30 |
| Street Address |
530 S JACKSON ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264062 | Magdy A Abaskaron | Radiology | 530 S Jackson St, # C07, Louisville, KY 40202-1675 | 2005-06-13 |
| 1609476787 | Jessica Fuyumi Burns | Registered Nurse | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-28 |
| 1881292548 | Elizabeth Ann Blandford | Nurse Practitioner | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-15 |
| 1487252466 | Corey Dale Vogt | Physical Therapist | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-13 |
| 1265046627 | Miranda Renea Pierce | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-09-03 |
| 1568080679 | Thomas Matthew Sturgis | Physical Therapist | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-07-07 |
| 1356965701 | Casey Marie Sullivan | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-06-02 |
| 1255951083 | Teresa S Meurer | Registered Nurse | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-04-22 |
| 1063032001 | Michael Dale Lance II | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-04-20 |
| 1700405164 | Sayed Eyedn Khosrowshahi | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-04-15 |
| 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 | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063748333 | Oraib Yacoub | Pathology | 2816 Rivers Edge Rd, Louisville, KY 40222-6178 | 2009-10-21 |
| 1053518308 | Gabor Ambrus | Pathology | 4500 Conaem Drive, Louisville, KY 40213 | 2007-06-29 |
| 1821288861 | Hanan Farghaly | Pathology | 530 S Jackson St, Dept of Pathology & Lab Medicine, Louisville, KY 40202-1675 | 2007-07-26 |
| 1568662583 | Matthew Pierce Thompson | Pathology | 231 E Chestnut St, Pathology Dept, Louisville, KY 40202-1821 | 2007-07-18 |
| 1538364104 | Jeremy Patrick Crim | Pathology | 530 S Jackson St, C1r06, Louisville, KY 40202-1675 | 2007-06-15 |
| 1992917678 | Amy Lara Fayling | Pathology | 382 S Arthur Ave, Louisville, CO 80027-3094 | 2007-05-04 |
| 1811020696 | Darwin Keith Edwards | Pathology | 221 S Preston St, Louisville, KY 40202-1223 | 2007-03-13 |
| 1093846545 | Neelofur Nazeer | Pathology | 530 S Jackson St, Louisville, KY 40202-1675 | 2007-03-08 |
| 1184751570 | Stewart E. Wolfson | Pathology | 221 S Preston St, Louisville, KY 40202-1223 | 2007-02-27 |
| 1598805731 | Mary Ann Gimenez Sanders | Pathology | 530 S Jackson St, Department of Pathology and Laboratory Medicine, Louisville, KY 40202-1675 | 2007-02-07 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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| 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.