JULIA L STAIB


Address: 4402 Churchman Ave, Suite 300, Louisville, KY 40215-1190
Phone: 5023630588

JULIA L STAIB (NPI# 1790143295) 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) 1790143295
Entity Type Individual
Full Name JULIA L STAIB
Credential APRN - NP
Practice Address 4402 Churchman Ave
Suite 300
Louisville
KY 40215-1190
Mailing Address 100 E Liberty St
Suite 800
Louisville
KY 40202-1434
Practice Telephone 5023630588
Practice Fax Number 5023630972
Mailing Telephone 5023630588
Mailing Fax Number 5023630972
Enumeration Date 2016-01-29
Last Update Date 2016-04-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 3009758 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100395440 05

Office Location

Street Address 4402 CHURCHMAN AVE
SUITE 300
City LOUISVILLE
State KY
Zip Code 40215-1190

Providers in the same location

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
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
1932536505 Katherine M Archer Nurse Practitioner 4402 Churchman Ave, Suite 408, Louisville, KY 40215-1190 2013-09-27
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841891645 K Tierney Lanham LLC Nurse Practitioner 6431 Regency Ln, Louisville, KY 40207-2309 2020-11-06
1578192274 Brian W Oliver Nurse Practitioner 309 Iola Rd, Louisville, KY 40207-2917 2020-04-04
1942835624 Rebecca Spicer Nurse Practitioner 9805 Scarborough Ave, Louisville, KY 40272-2436 2020-03-03
1487288262 Centerpointe Health LLC Nurse Practitioner 10100 Linn Station Rd, Louisville, KY 40223-3861 2020-03-02
1750914438 Robin Elizabeth Masters Nurse Practitioner 2011 Lake Point Way Ste 202, Louisville, KY 40223-4229 2020-02-20
1629608286 Meagan Molestina Nurse Practitioner 411 E Chestnut St # 4b6b, Louisville, KY 40202-1713 2020-01-23
1255971131 Casey Lynn Potter Nurse Practitioner 411 Eaat Chestnut Street, Level 5a, Louisville, KY 40202-1713 2020-01-08
1487292033 Norton Children's Medical Group, LLC Nurse Practitioner 1930 Bishop Ln Ste 101710, Louisville, KY 40218-1921 2019-12-13
1548803273 Jessica L Withrow Nurse Practitioner 1900 Bluegrass Ave Ste 103, Louisville, KY 40215-1144 2019-10-25
1629627773 Latonya Renee Banks Nurse Practitioner 2210 Buechel Avenue, Suite 105, Louisville, KY 40218-2619 2019-09-10
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Competitor

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City LOUISVILLE
Zip Code 40215

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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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