JESSICA WOODALL (NPI# 1518599638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518599638 |
| Entity Type | Individual |
| Full Name | JESSICA WOODALL |
| Credential | PHARMD |
| Practice Address |
12450 La Grange Rd Louisville KY 40245-1901 |
| Practice Telephone | 5022416770 |
| Mailing Telephone | 5022416770 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
018859 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831451533 | Jessica Woodall | Specialist | 2711 W 36th St, Brooklyn, NY 11224-1685 | 2012-06-09 |
| 1679111041 | Jessica Woodall | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2019-12-17 |
| Street Address |
12450 LA GRANGE RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40245-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053345819 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 12450 La Grange Rd, Louisville, KY 40245-1901 | 2006-07-10 |
| 1477152478 | Brian Cheek | Pharmacist | 12450 La Grange Rd, Louisville, KY 40245-1901 | 2020-10-21 |
| 1497369961 | Norah Altairi | Pharmacist | 12450 La Grange Rd, Louisville, KY 40245-1901 | 2020-09-02 |
| 1194191247 | Regina Michelle Betts | Nurse Practitioner | 12450 La Grange Rd, Louisville, KY 40245-1901 | 2015-08-12 |
| 1295126795 | Ashley Brooke Flynn | Nurse Practitioner | 12450 La Grange Rd, Louisville, KY 40245 | 2015-02-05 |
| 1679996631 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 12450 La Grange Rd, Louisville, KY 40245-1901 | 2014-01-28 |
| 1114368099 | Todd Walker | Pharmacist | 12450 La Grange Rd, Louisville, KY 40245-1901 | 2013-07-08 |
| 1205121779 | Sara L. Dean | Pharmacist | 12450 La Grange Rd, Louisville, KY 40245-1901 | 2011-06-13 |
| 1912224965 | Joanne Hazelwood | Nurse Practitioner | 12450 La Grange Rd, Louisville, KY 40245-1901 | 2010-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247753 | Stepping Stones Pediatric Therapy, LLC | Early Intervention Provider Agency | 330 Cranbury Way, Louisville, KY 40245 | 2020-02-20 |
| 1790324333 | Joseph Strano | Pharmacist | 12450 Lagrange Road, Louisville, KY 40245 | 2019-12-30 |
| 1174160725 | Anne S Hill | Technician | 16621 Taunton Vale Rd, Louisville, KY 40245 | 2019-12-03 |
| 1750808937 | Amy Judy | Assistant Behavior Analyst | 4512 Meadowlark Manor Dr, Louisville, KY 40245 | 2017-08-28 |
| 1104356567 | Mmr Cardiovascular Consulting LLC | Internal Medicine | 1101 Glenlake Way, Louisville, KY 40245 | 2017-06-18 |
| 1952830135 | Staci Marie Trofimov | Dietitian, Registered | 13008 Willow Forest Drive, Louisville, KY 40245 | 2017-06-09 |
| 1629524913 | Forefront Dermatology, S.c. | Dermatology | 159 S. English Station Road, Louisville, KY 40245 | 2016-08-28 |
| 1861867830 | Jamila Hadden | Counselor | 111 Parkview Dr., Louisville, KY 40245 | 2015-12-02 |
| 1538570312 | Brian Johnson | Case Manager/Care Coordinator | 4717 Middlesex Drive, 4717 Middlesex Drive, Louisville, KY 40245 | 2014-05-14 |
| 1033535828 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 16605 Chestnut Glen Pl, Louisville, KY 40245 | 2014-03-17 |
| Find all providers in zip 40245 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417528 | Monica Ann Elswick | Pharmacist | 4913 Carriage Pass Pl, Louisville, KY 40299-6638 | 2020-11-02 |
| 1790324333 | Joseph Strano | Pharmacist | 12450 Lagrange Road, Louisville, KY 40245 | 2019-12-30 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1841797560 | Bhavyata Parag | Pharmacist | 530 S Jackson St Apt 111, Louisville, KY 40202-1675 | 2018-04-09 |
| 1588910905 | Gayatri Singh | Pharmacist | 900 Eldorado Lane, Louisville, CO 80027-3107 | 2012-08-03 |
| 1083868947 | Esen Apak Stephens | Pharmacist | 9819 White Blossom Blvd, Louisville, KY 40241-4181 | 2008-11-05 |
| 1477154649 | Kristopher Waller | Pharmacist | 3165 S 2nd St, Louisville, KY 40208-1446 | 2020-11-04 |
| 1083214290 | Kristin Scarboro | Pharmacist | 3039 Breckenridge Ln, Louisville, KY 40220-2101 | 2020-10-27 |
| 1811596893 | Melina Irene Digenis | Pharmacist | 9440 Brownsboro Rd, Louisville, KY 40241-1200 | 2020-10-21 |
| 1467051417 | William K Harmon | Pharmacist | 9080 Taylorsville Rd, Louisville, KY 40299-1750 | 2020-10-21 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40245 |
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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.