MARYLYNN K CRENSHAW (NPI# 1669704110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669704110 |
| Entity Type | Individual |
| Full Name | MARYLYNN K CRENSHAW |
| Other Name | MARY LYNN KINNARD |
| Credential | ARNP |
| Practice Address |
4402 Churchman Ave Suite 410 Louisville KY 40215-1190 |
| Practice Telephone | 5023676426 |
| Practice Fax Number | 5023803843 |
| Mailing Telephone | 5023676426 |
| Mailing Fax Number | 5023803843 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2014-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2465P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4402 CHURCHMAN AVE SUITE 410 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-1190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424321 | Joel Philip Garmon | Surgery | 4402 Churchman Ave, Ste 202, Louisville, KY 40215-3101 | 2005-06-01 |
| 1629523048 | Cynthia Byers | Nurse Practitioner | 4402 Churchman Ave, Suite 410, Louisville, KY 40215-1190 | 2016-08-16 |
| 1780047456 | Distler, Huntington & Blair Psc | Optometrist | 4402 Churchman Ave, Ste 306, Louisville, KY 40215-3101 | 2016-03-31 |
| 1790143295 | Julia L Staib | Nurse Practitioner | 4402 Churchman Ave, Suite 300, Louisville, KY 40215-1190 | 2016-01-29 |
| 1306218805 | Charna E Gaither | Nurse Practitioner | 4402 Churchman Ave, Suite 404, Louisville, KY 40215-1190 | 2015-10-22 |
| 1255703922 | Michelle Sims | Nurse Practitioner | 4402 Churchman Ave, Suite 302, Louisville, KY 40215-1190 | 2015-10-21 |
| 1609246156 | Elizabeth Mann Gasser | Physician Assistant | 4402 Churchman Ave, Suite 300, Louisville, KY 40215-1190 | 2015-09-28 |
| 1972907327 | Ashley Tant | Nurse Practitioner | 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 | 2014-10-14 |
| 1417366279 | Louisville & So Indiana Pulmonary Care | Nurse Practitioner | 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 | 2014-08-06 |
| 1447669478 | Ashley C Tant | Nurse Practitioner | 4402 Churchman Ave, Ste 409, Louisville, KY 40215-1190 | 2014-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
Please comment or provide details below to improve the information on MARYLYNN K CRENSHAW.
| 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.