MRS. STACEY R WALDEN (NPI# 1811533862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811533862 |
| Entity Type | Individual |
| Full Name | MRS. STACEY R WALDEN |
| Credential | APRN |
| Practice Address |
4806 Redmon Ct Louisville KY 40291-1449 |
| Practice Telephone | 5026435741 |
| Mailing Telephone | 5026435741 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3013661 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
3013661 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508429028 | Stacey Elizabeth Walden | Midwife | 4025 Nw 9th Ct, Gainesville, FL 32605-4713 | 2019-04-19 |
| Street Address |
4806 REDMON CT |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40291-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881117166 | The Degondaba School, Inc. | Day Training, Developmentally Disabled Services | 5110 Stony Brook Drive, Louisville, KY 40291 | 2017-07-19 |
| 1497108278 | Andrea Herndon | Physician Assistant | 10710 Marceitta Ct, Louisville, KY 40291 | 2016-07-18 |
| 1033536602 | Jennifer Rose Fowler | Social Worker | 10300 Brookridge Villeage Blvd., Suite 104, Louisville, KY 40291 | 2014-03-21 |
| 1740602069 | Brittney Tatum | Licensed Practical Nurse | 9500 Glen Trace Ln, Louisville, KY 40291 | 2014-01-07 |
| 1326392895 | Lisa J Fetter | Nurse Practitioner | 6413 Bardstown Rd, Louisville, KY 40291 | 2012-11-05 |
| 1275829137 | Carolyn Estep Book | Counselor | 9612 Farmstead Lane, Louisville, KY 40291 | 2011-06-20 |
| 1023309028 | Julie Klein Hawkins | Pharmacist | 8014 Bardstown Rd., Louisville, KY 40291 | 2011-04-25 |
| 1295872653 | Loving Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9508 Fairmount Rd, Louisville, KY 40291 | 2007-02-01 |
| 1962548198 | Morgan Howard | Chiropractor | 5501 Bardstown Rd, Louisville, KY 40291 | 2007-01-29 |
| 1407992258 | Deanna H Smith | Social Worker | 9409 Cedar Look Drive, Louisville, KY 40291 | 2007-01-29 |
| Find all providers in zip 40291 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393864 | Lindsay Ann Traeger | Nurse Practitioner | 633 E Main St Unit 553, Louisville, KY 40202-4739 | 2020-10-13 |
| 1669974119 | Donald Ray Avery Jr. | Nurse Practitioner | 801 Barret Ave Ste 314, Louisville, KY 40204-1734 | 2018-03-01 |
| 1730417593 | Tam Healthcare Options, Pllc. | Nurse Practitioner | 1904 Crums Ln, Louisville, KY 40216-4228 | 2009-12-05 |
| 1659991313 | Jason Pratt | Nurse Practitioner | 3975 7th Street Rd, Louisville, KY 40216-4103 | 2020-04-23 |
| 1053977041 | Enm Wellness & More | Nurse Practitioner | 801 W Broadway Ste 4, Louisville, KY 40202-2236 | 2019-05-15 |
| 1497218507 | Interlocking Hearts Healthcare - Primary and Express Care | Nurse Practitioner | 801 W Broadway Ste 4, Louisville, KY 40202-2236 | 2019-04-08 |
| 1679012256 | Katherine Voss | Nurse Practitioner | 800 Zorn Ave, Louisville, KY 40206 | 2017-02-16 |
| 1598211146 | Alternative Health Solutions LLC | Nurse Practitioner | 7098 Distribution Dr, Louisville, KY 40258-2879 | 2016-09-01 |
| 1124471883 | Kasey Ann Metts | Nurse Practitioner | 400 S 6th St, Louisville, KY 40202-2306 | 2016-07-18 |
| 1205284726 | Serena K Nevitt | Nurse Practitioner | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2016-05-25 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40291 |
Please comment or provide details below to improve the information on MRS. STACEY R WALDEN.
| 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.