OLIVIA JUSTINE STIVERS (NPI# 1992226351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992226351 |
| Entity Type | Individual |
| Full Name | OLIVIA JUSTINE STIVERS |
| Credential | APRN |
| Practice Address |
5901 Greenwood Rd Louisville KY 40258-2409 |
| Mailing Address |
3015 Wilson Ave Louisville KY 40211-1969 |
| Practice Telephone | 5029167576 |
| Mailing Telephone | 5027744401 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3011486 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100480680 | 05 | |
| KY | MEDICARE | K249870 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 141 Parkway Dr, Bardstown, KY 400043220 | 5023484757 | |
| 3015 Wilson Ave, Louisville, KY 402111969 | 5027744401 |
| Street Address |
5901 GREENWOOD RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40258-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811545403 | Park Duvalle Community Health Center, Inc | Clinic/Center | 5901 Greenwood Rd, Louisville, KY 40258-2409 | 2019-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519810 | Natalie Calhoun | Nursing Care | 6706 Wyckoff Court, Louisville, KY 40258 | 2020-08-20 |
| 1710597075 | Breanna Albright | Nurse Practitioner | 8594 Dixie Highway, Lou, KY 40258 | 2020-08-03 |
| 1528548831 | Assocaites In Pediatric Therapy LLC | Physical Therapist | 3110 Creek Drive, Lousiville, KY 40258 | 2018-08-16 |
| 1972097277 | D & D Dental Enterprises | Clinic/Center | 6790 Dixie Hwy, Louisville, KY 40258 | 2018-06-20 |
| 1295259695 | Antonio Lavelle Booker | Pharmacist | 7500 Terry Road, Louisville, KY 40258 | 2017-07-28 |
| 1568880037 | All About Your Hair LLC | Specialist | 7828 Westbrook Rd, Louisville, KY 40258 | 2014-04-02 |
| 1700215019 | Anna Solce | Pharmacist | 7338 Dixie Highway, Louisville, KY 40258 | 2013-11-06 |
| 1427147206 | Eric A. Burnett | Internal Medicine | 8019 Dixie Hwy Suite101, Jencare Neighborhood Medical Center Valley Station LLC, Louisville, KY 40258 | 2006-10-12 |
| 1861585531 | Amy B. Farnsworth | Dentist | 7206 Dixie Hwy., Louisville, KY 40258 | 2006-10-02 |
| 1720096951 | Endodontic Associates of Louisville Pllc | Dentist | 7214 Dixie Hwy, Louisville, KY 40258 | 2006-08-03 |
| Find all providers in zip 40258 | ||||
| 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 | 40258 |
Please comment or provide details below to improve the information on OLIVIA JUSTINE STIVERS.
| 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.