JESSICA GOETTL (NPI# 1548632722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548632722 |
Entity Type | Individual |
Full Name | JESSICA GOETTL |
Credential | APRN |
Practice Address |
3999 Dutchmans Ln Ste 2f Louisville KY 40207-4748 |
Practice Telephone | 5028830227 |
Practice Fax Number | 5024100484 |
Mailing Telephone | 5028830227 |
Mailing Fax Number | 5024100484 |
Enumeration Date | 2015-10-27 |
Last Update Date | 2015-11-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
3009898 | KY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3999 DUTCHMANS LN STE 2F |
City | LOUISVILLE |
State | KY |
Zip Code | 40207-4748 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154634947 | Abid S. Butt | Internal Medicine | 3999 Dutchmans Ln Ste 2f, Louisville, KY 40207-4748 | 2010-07-21 |
1982098547 | April Denise Frierson | Registered Nurse | 3999 Dutchmans Ln Ste 2f, Louisville, KY 40207-4748 | 2015-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
Find all providers in zip 40207 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891393864 | Lindsay Ann Traeger | Nurse Practitioner | 633 E Main St Unit 553, Louisville, KY 40202-4739 | 2020-10-13 |
1669974119 | Donald Ray Avery Jr. | Nurse Practitioner | 801 Barret Ave Ste 314, Louisville, KY 40204-1734 | 2018-03-01 |
1730417593 | Tam Healthcare Options, Pllc. | Nurse Practitioner | 1904 Crums Ln, Louisville, KY 40216-4228 | 2009-12-05 |
1659991313 | Jason Pratt | Nurse Practitioner | 3975 7th Street Rd, Louisville, KY 40216-4103 | 2020-04-23 |
1053977041 | Enm Wellness & More | Nurse Practitioner | 801 W Broadway Ste 4, Louisville, KY 40202-2236 | 2019-05-15 |
1497218507 | Interlocking Hearts Healthcare - Primary and Express Care | Nurse Practitioner | 801 W Broadway Ste 4, Louisville, KY 40202-2236 | 2019-04-08 |
1679012256 | Katherine Voss | Nurse Practitioner | 800 Zorn Ave, Louisville, KY 40206 | 2017-02-16 |
1598211146 | Alternative Health Solutions LLC | Nurse Practitioner | 7098 Distribution Dr, Louisville, KY 40258-2879 | 2016-09-01 |
1124471883 | Kasey Ann Metts | Nurse Practitioner | 400 S 6th St, Louisville, KY 40202-2306 | 2016-07-18 |
1205284726 | Serena K Nevitt | Nurse Practitioner | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2016-05-25 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40207 |
Please comment or provide details below to improve the information on JESSICA GOETTL.
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.