ELISSA GRIDER


Address: 3015 Wilson Ave, Louisville, KY 40211-1969
Phone: 5027744401

ELISSA GRIDER (NPI# 1598312415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598312415
Entity Type Individual
Full Name ELISSA GRIDER
Credential APRN
Practice Address 3015 Wilson Ave
Louisville
KY 40211-1969
Practice Telephone 5027744401
Practice Fax Number 5027728983
Mailing Telephone 5027744401
Mailing Fax Number 5027728983
Enumeration Date 2019-08-26
Last Update Date 2019-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
3013685 KY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1425 W Broadway, Louisville, KY 402032059 5025842992
2237 Hikes Ln, Louisville, KY 402182203 5024798930
501 Taylorsville Rd, Taylorsville, KY 400716766 5014772248

Office Location

Street Address 3015 WILSON AVE
City LOUISVILLE
State KY
Zip Code 40211-1969

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275534091 Lisa G Glass Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211-1969 2005-08-02
1083215362 Yazmine Jaquez Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211-1969 2020-11-04
1982211405 Domini Williams Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211-1969 2020-09-29
1497361091 Treana Redd Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211-1969 2020-09-18
1356954366 Janneve Sankawulo Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211-1969 2020-08-28
1588274260 Robyn May Dentist 3015 Wilson Ave, Louisville, KY 40211-1969 2020-08-06
1124638184 Symone Stephens Registered Nurse 3015 Wilson Ave, Louisville, KY 40211-1969 2020-08-05
1275151292 Park Duvalle Community Health Center, Inc Clinic/Center 3015 Wilson Ave, Louisville, KY 40211-1969 2020-07-07
1730733783 Mark A Bush Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211 2019-07-29
1407419237 Gina M Beckford Nurse Practitioner 3015 Wilson Ave, Louisville, KY 40211 2019-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942792940 Kare LLC Dentist 2500 W Broadway Ste 500, Louisville, KY 40211 2018-06-05
1265943716 Practicare Home Care Services, LLC Nurse Practitioner 1667 Russell Lee Dr, Louisville, KY 40211 2017-10-23
1518478221 Latoya Samantha Hall Counselor 646 South 36th Street, Louisville, KY 40211 2017-10-20
1003071200 Mark Cassol Md Psc Ophthalmology 2600 W. Broadway, Suite 105, Louisville, KY 40211 2008-07-28
1194919548 Hardin Housing Corp Assisted Living Facility 2035 S 41st St, Louisville, KY 40211 2007-08-29
1184770562 Eta Day Care Center LLC Case Management 724 So 44th Street, Louisville, KY 40211 2007-01-26
1871571356 Alice C Gunnison Physician Assistant 2406 West Broadway, Jencare Neighborhood Medical Center West Broadway, LLC, Louisville, KY 40211 2006-01-05
1730694266 Orchid House, Inc. Early Intervention Provider Agency 703 S 31st St, Louisville, KY 40211 2017-12-06
1891188785 Mary Jo Pitts Registered Nurse 2406 West Broadway, Jencare Neighborhood Medical Center West Broadway, LLC, Louisville, KY 40211 2015-03-17
1164717492 Priscilla Nana Ama Owusu Internal Medicine 2406 W Broadway, Louisville, KY 40211 2011-06-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023618535 Pamela Nicole Kinney Nurse Practitioner 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 2020-10-26
1457950883 Tetteh Narteh Nurse Practitioner 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 2020-10-16
1114525540 Richard A Anane Nurse Practitioner 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 2020-10-16
1427656081 Elma Mustic Nurse Practitioner 9714 Boxford Way, Louisville, KY 40242-2305 2020-10-15
1679171318 Cassandra Jane Lee Nurse Practitioner 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 2020-10-14
1942817762 Merritt Borders Nurse Practitioner 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 2020-09-25
1114533536 Lyssa Alexandra Miller Nurse Practitioner 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 2020-09-21
1174138713 Paola Cristina Maldonado Nurse Practitioner 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 2020-09-10
1033722525 Bynisha Robertson Nurse Practitioner 5312 Sprigwood Ln, Louisville, KY 40291-1135 2020-08-25
1154931202 Heather M Karem Nurse Practitioner 10207 Hartley Dr, Louisville, KY 40223-2735 2020-08-04
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Competitor

Search similar providers

City LOUISVILLE
Zip Code 40211

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Dataset Information

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.

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