PAULA W. MINERVINO (NPI# 1750738936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750738936 |
| Entity Type | Individual |
| Full Name | PAULA W. MINERVINO |
| Other Name | PAULA LEE WINTERS |
| Credential | APRN |
| Practice Address |
2215 Portland Ave Louisville KY 40212-1033 |
| Practice Telephone | 5027748631 |
| Practice Fax Number | 5027728189 |
| Mailing Telephone | 5027748631 |
| Mailing Fax Number | 5027728189 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3009824 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100412290 | 05 |
| Street Address |
2215 PORTLAND AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40212-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003810920 | Julia E Richerson | Pediatrics | 2215 Portland Ave, Louisville, KY 40212-1033 | 2005-06-09 |
| 1609431097 | Pamela Lynn Ratcliffe | Social Worker | 2215 Portland Ave, Louisville, KY 40212-1033 | 2019-05-01 |
| 1518453075 | Dana Renee Singletary | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2018-07-09 |
| 1881105823 | Emily B Franck | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2017-10-17 |
| 1952754749 | Bradley Randall Congleton | Dentist | 2215 Portland Ave, Louisville, KY 40212-1033 | 2016-07-18 |
| 1164874160 | Patricia Guzman Rojas | Family Medicine | 2215 Portland Ave, Louisville, KY 40212-1033 | 2016-07-01 |
| 1043670391 | Rod Ali Erfani | Dentist | 2215 Portland Ave, Louisville, KY 40212 | 2016-02-29 |
| 1013389022 | Izegbea M. Cannon | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2015-10-29 |
| 1659742914 | Tonia Marie Snyder-myers | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2015-10-13 |
| 1417338989 | Shannon Smith Wheeler | Dentist | 2215 Portland Ave, Louisville, KY 40212-1033 | 2015-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003433111 | Shanita Flanagan | Home Health Aide | 4519 Southwestern Parkway, Louisville, KY 40212 | 2020-07-06 |
| 1184118887 | Denise Goldsmith-kelley | Licensed Practical Nurse | 2611 Northwestern Pkwy, Louisville, KY 40212 | 2018-06-18 |
| 1477605426 | Market St Dental Office Psc | Dentist | 2410 West Market St, Louisville, KY 40212 | 2007-01-18 |
| 1528118601 | Portland Dental Psc | Clinic/Center | 465 North 26th Street, Louisville, KY 40212 | 2007-01-11 |
| 1790393643 | Quality Home Care Services, LLC | In Home Supportive Care | 4519 Southwestern Parkway, Same, Louisville, KY 40212 | 2020-07-16 |
| 1659884872 | New Leaf Clinic | Clinic/Center | 2910 W Jefferson St, Louisville, KY 40212 | 2017-11-09 |
| 1164754008 | Deborah J Moreau | Nurse Practitioner | 234 Amy Ave, Louisville, KY 40212 | 2010-02-03 |
| 1982617387 | Julie R Aull | Physician Assistant | 234 Amy Ave, Louisville, KY 40212 | 2006-08-15 |
| 1255816401 | Restoration Center Inc. | Respite Care | 2611 Northwestern Pkwy, Louisville, KY 40212-1029 | 2018-10-03 |
| 1386038040 | Lufield Dialysis LLC | Clinic/Center | 2118 Portland Ave, Louisville, KY 40212-1032 | 2015-03-20 |
| Find all providers in zip 40212 | ||||
| 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 | 40212 |
Please comment or provide details below to improve the information on PAULA W. MINERVINO.
| 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.