NATALIE WISE JEFFRIES (NPI# 1780139295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780139295 |
| Entity Type | Individual |
| Full Name | NATALIE WISE JEFFRIES |
| Other Name | NATALIE D WISE |
| Credential | PA-C |
| Practice Address |
4331 Churchman Ave Ste 101 Louisville KY 40215 |
| Mailing Address |
4331 Churchman Ave Ste 101 Louisville KY 40215-1164 |
| Practice Telephone | 5023640902 |
| Practice Fax Number | 5023640099 |
| Mailing Telephone | 5023640902 |
| Mailing Fax Number | 5023640099 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2018-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100437600 | 05 | |
| KY | ANTHEM | 000001040338 | 01 |
| Street Address |
4331 CHURCHMAN AVE STE 101 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295734747 | Kirk A Fougnie | Physician Assistant | 4331 Churchman Ave, Suite 101, Louisville, KY 40215-1164 | 2005-07-18 |
| 1710221015 | Kelly J Boone | Physical Therapist | 4331 Churchman Ave, Louisville, KY 40215-1164 | 2012-11-27 |
| 1508161217 | Allyson R. Dockery Santos Pereira | Physical Therapist | 4331 Churchman Ave, Suite 102, Louisville, KY 40215-1164 | 2011-01-12 |
| 1942499355 | Bradley Dunkin | Orthopaedic Surgery | 4331 Churchman Ave, Suite 101, Louisville, KY 40215-1164 | 2007-10-22 |
| 1194932459 | Physical Therapy Associates Inc | Physical Therapist | 4331 Churchman Ave, Louisville, KY 40215-1164 | 2007-05-17 |
| 1598817785 | Keith John Henson | Physical Therapist | 4331 Churchman Ave, Suite 102, Louisville, KY 40215-1164 | 2007-01-17 |
| 1992852909 | David Rhoads | Specialist | 4331 Churchman Ave, Suite 101, Louisville, KY 40215-1164 | 2007-01-04 |
| 1902987704 | Cindy K Sampson | Physician Assistant | 4331 Churchman Ave, Ste 101, Louisville, KY 40215-1164 | 2006-10-18 |
| 1528093762 | Pomeroy & Rhoads Orthopedics Pllc | Durable Medical Equipment & Medical Supplies | 4331 Churchman Ave, Suite 101, Louisville, KY 40215-1164 | 2006-07-12 |
| 1134185150 | Peter J Buecker | Orthopaedic Surgery | 4331 Churchman Ave, Suite 101, Louisville, KY 40215-1164 | 2006-04-26 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225591 | Alexis Garrett | Physician Assistant | 16993 Green Crest Ln, Louisville, KY 40245-3217 | 2020-11-03 |
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1184247231 | Jeremiah Noe | Physician Assistant | 3999 Dutchmans Ln Ste 2e, Louisville, KY 40207-4748 | 2020-05-23 |
| 1598388894 | Amanda Marie Hafner | Physician Assistant | 200 E Chestnut St Bldg Suite300, Louisville, KY 40202-1831 | 2020-05-20 |
| 1205487170 | Kenneth D Morrison | Physician Assistant | 9300 Stonestreet Rd Ste 200, Louisville, KY 40272-2894 | 2019-09-23 |
| 1518515444 | William Wilson | Physician Assistant | 1037 E Caldwell St, Louisville, KY 40204-1857 | 2019-09-04 |
| 1760955546 | Benjamin Charles Askins | Physician Assistant | 7906 New La Grange Rd, Louisville, KY 40222-4718 | 2019-01-04 |
| 1770066292 | Molly Roberson Comprehensive Surgical Assistance Pllc | Physician Assistant | 1064 Eastern Pkwy, Louisville, KY 40217-1532 | 2018-09-11 |
| 1598246860 | Kelsi J Barnes | Physician Assistant | 13151 Magisterial Dr # 200, Louisville, KY 40223-4103 | 2018-08-24 |
| 1174009930 | Faun Ellwood-digel | Physician Assistant | 275 W Walnut St, Louisville, CO 80027-2295 | 2018-07-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
Please comment or provide details below to improve the information on NATALIE WISE JEFFRIES.
| 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.