CSD MEDICAL SERVICES (NPI# 1538309489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538309489 |
| Entity Type | Organization |
| Organization Name | CSD MEDICAL SERVICES |
| Practice Address |
18 Village Plz Shelbyville KY 40065-1745 |
| Practice Telephone | 8592274835 |
| Practice Fax Number | 5024530790 |
| Mailing Telephone | 8592274835 |
| Mailing Fax Number | 5024530790 |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |
| Authorized Official Name | SHELLEY D. BRADLEY (OWNER, PROVIDER) |
| Authorized Official Telephone | 8592274835 |
| Authorized Official Credential | ARNP, RNFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4229P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BCBS | 000000562862 | 01 |
| KY | 78014354 | 05 |
| Street Address |
18 VILLAGE PLZ |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-1745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416649 | Bradley Michael Rund | Nurse Practitioner | 2154 Intelliplex Dr, Shelbyville, IN 46176-8547 | 2020-04-22 |
| 1891217527 | Anna Elizabeth Barrickman | Nurse Practitioner | 515 Hospital Dr Ste 1, Shelbyville, KY 40065-1619 | 2017-07-14 |
| 1588946156 | Denise Lorene Skinner | Nurse Practitioner | 2158 Intelliplex, Suite 200, Shelbyville, IN 46176-1236 | 2011-09-09 |
| 1124332861 | Kimberly Wright | Nurse Practitioner | 150 Frankfort Rd Ste 103, Shelbyville, KY 40065-7401 | 2010-08-05 |
| 1659601425 | Marguerite Dianne Davenport | Nurse Practitioner | 1660 Railroad Ave, Shelbyville, TN 37160-7408 | 2009-12-30 |
| 1447587894 | Ashley Ryan Mcfarland | Nurse Practitioner | 1612 N Main St Ste B, Shelbyville, TN 37160-2392 | 2009-11-05 |
| 1083802987 | Mary A Wentzel | Nurse Practitioner | 2451 Intelliplex Dr Ste 220, Shelbyville, IN 46176-8581 | 2007-10-05 |
| 1043327729 | Anita S Philipose | Nurse Practitioner | 1303 N Main St Ste C, Shelbyville, TN 37160-2331 | 2006-08-25 |
| 1063468825 | Linda May Sewell-hauenstein | Nurse Practitioner | 311 Boone Station Road, Shelbyville, KY 40065-8592 | 2006-05-25 |
| 1912952813 | Cynthia M. Fister | Nurse Practitioner | 131 Stonecrest Rd, Suite 100, Shelbyville, KY 40065-9191 | 2006-05-23 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
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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.