JEANIE MARIE DOAN


Address: 4130 Dutchmans Ln, Suite 300, Louisville, KY 40207-4713
Phone: 5028971794

JEANIE MARIE DOAN (NPI# 1942615703) 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) 1942615703
Entity Type Individual
Full Name JEANIE MARIE DOAN
Credential FNP
Practice Address 4130 Dutchmans Ln
Suite 300
Louisville
KY 40207-4713
Mailing Address 1130 Driftwood Dr Ne
Corydon
IN 47112-8219
Practice Telephone 5028971794
Practice Fax Number 5028970093
Mailing Telephone 8122674266
Enumeration Date 2014-06-30
Last Update Date 2015-08-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 71005041A IN Physician Assistants & Advanced Practice Nursing Providers
Y 363L00000X Nurse Practitioner 3009209 KY Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
28162047A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201253090 05
KY 7100351040 05

Office Location

Street Address 4130 DUTCHMANS LN
SUITE 300
City LOUISVILLE
State KY
Zip Code 40207-4713

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194720342 George W Robertson Obstetrics & Gynecology 4130 Dutchmans Ln, Ste 400, Louisville, KY 40207-4711 2005-06-15
1629522925 Jordan Wesley Tinnell Physician Assistant 4130 Dutchmans Ln, Ste. 300, Louisville, KY 40207-4713 2016-08-04
1285978072 Nicholas Aaron Ryan Obstetrics & Gynecology 4130 Dutchmans Ln, Suite 400, Louisville, KY 40207-4713 2012-11-16
1457635997 Amy M Drury Physical Therapist 4130 Dutchmans Ln, Suite 300, Louisville, KY 40207-4713 2011-10-03
1346566775 John Strudwick Lewis Jr. Orthopaedic Surgery 4130 Dutchmans Ln, Ste 300, Louisville, KY 40207-4713 2010-04-09
1144554957 Kelly M Joy Physician Assistant 4130 Dutchmans Ln, Suite 400, Louisville, KY 40207-4713 2009-09-25
1851534556 Osman Mohammed Shariff Obstetrics & Gynecology 4130 Dutchmans Ln, Suite 400, Louisville, KY 40207-4713 2009-04-09
1164630695 Michael Jerome Mehring Jr. Specialist/Technologist 4130 Dutchmans Ln, Suite 100, Louisville, KY 40207-4713 2007-05-18
1073633400 Louisville Orthopaedic Surgery Center Pllc Clinic/Center 4130 Dutchmans Ln, Suite 200, Louisville, KY 40207-4713 2007-03-30
1972637866 Venu Vemuri Orthopaedic Surgery 4130 Dutchmans Ln, Ste 300, Louisville, KY 40207-4713 2007-03-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780212688 Alexia Louise Bodamer Student in an Organized Health Care Education/Training Program 142 Chenoweth Lane, Lousiville, KY 40207 2020-03-28
1467918664 Amy Rock LLC Counselor 4010 Dupont Cir Ste 307, Louisville, KY 40207 2019-02-13
1649745191 Louisville Optometric Center, IIi, Psc Optometrist 285 Hubbards Lane, Suite 300, Louisville, KY 40207 2018-10-11
1184137440 Crimson Dove Counseling Services Inc Community/Behavioral Health 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 2017-11-09
1285157586 Dickerson Family Enterprise, LLC Non-emergency Medical Transport (VAN) 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 2017-07-19
1578085296 Cardiovascular Medical Specialists LLC Surgery 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 2017-07-14
1932636305 Devon Turley Prevention Professional 1017 Dupont Rd, Suite 1, Louisville, KY 40207 2017-05-17
1285095539 Emily Schwartz Crouch Marriage & Family Therapist 4010 Dupont Circle, Suite 582, Louisville, KY 40207 2016-03-15
1306201280 A A and Associates Approved Alcohol/drug Program Counselor 4006 Dutchmans Lane, Louisville, KY 40207 2015-12-21
1629433693 Jewish Hospital and St. Mary's Healthcare, Inc. General Acute Care Hospital 3290 Dutchmans Lane, Louisville, KY 40207 2015-12-17
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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 40207

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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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