BETHANY PARKS (NPI# 1801227038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801227038 |
| Entity Type | Individual |
| Full Name | BETHANY PARKS |
| Practice Address |
9510 Ormsby Station Rd Louisville KY 40223-4081 |
| Mailing Address |
9510 Ormsby Station Rd Ste 100 Louisville KY 40223-4082 |
| Practice Telephone | (502) 327-9100 |
| Practice Fax Number | 8556328329 |
| Mailing Telephone | 5023279100 |
| Mailing Fax Number | 8556328329 |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2018-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3008328 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 12628297 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265718191 | Bethany Parks | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2011-10-24 |
| 1255566410 | Bethany Parks | Genetic Counselor, MS | 1000 Wall St, 714 Kec, Ann Arbor, MI 48105-1912 | 2009-05-18 |
| Street Address |
9510 ORMSBY STATION RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40223-4081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902858178 | Caretenders of Birmingham, Inc | Home Health | 9510 Ormsby Station Rd, Suite 300, Louisville, KY 40223-4081 | 2006-05-16 |
| 1922650134 | Samantha Harper | Nurse Practitioner | 9510 Ormsby Station Rd, Louisville, KY 40223-4081 | 2019-07-09 |
| 1942780507 | Emily Otto | Nurse Practitioner | 9510 Ormsby Station Rd, Louisville, KY 40223-4081 | 2018-08-14 |
| 1821581547 | Leslie Renee' Mcqueen | Nurse Practitioner | 9510 Ormsby Station Rd, Louisville, KY 40223-4081 | 2018-06-07 |
| 1841795572 | Kelly Carlene Belcher | Nurse Practitioner | 9510 Ormsby Station Rd, Louisville, KY 40223-4081 | 2018-03-26 |
| 1366874323 | Al Kingsport Operations, LLC | Assisted Living Facility | 9510 Ormsby Station Rd, Suite 101, Louisville, KY 40223-4081 | 2013-08-01 |
| 1255694071 | Woodlake Operations, LLC | Assisted Living Facility | 9510 Ormsby Station Rd, Suite 101, Louisville, KY 40223-4081 | 2012-06-18 |
| 1366705287 | Florence Operations, LLC | Assisted Living Facility | 9510 Ormsby Station Rd, Suite 101, Louisville, KY 40223-4081 | 2012-06-18 |
| 1174882682 | Valley Farms Operations, LLC | Assisted Living Facility | 9510 Ormsby Station Rd, Suite 101, Louisville, KY 40223-4081 | 2012-05-04 |
| 1154556231 | Elmcroft of Sherwood | Assisted Living Facility | 9510 Ormsby Station Rd, Suite 101, Louisville, KY 40223-4081 | 2009-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
| 1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
| 1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
| 1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
| 1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
| 1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
| 1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
| 1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
| Find all providers in zip 40223 | ||||
| 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 | 40223 |
Please comment or provide details below to improve the information on BETHANY PARKS.
| 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.