DR. HOLLY BETH GUSTAFSON (NPI# 1013064112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013064112 |
| Entity Type | Individual |
| Full Name | DR. HOLLY BETH GUSTAFSON |
| Credential | PHD |
| Practice Address |
1169 Eastern Pkwy Ste 431 Louisville KY 40217-1417 |
| Practice Telephone | 5022121032 |
| Practice Fax Number | 5022121033 |
| Mailing Telephone | 5022121032 |
| Mailing Fax Number | 5022121033 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
736 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173886 | Holly Gustafson | Nurse Practitioner | 1124 E Elizabeth St Ste C, Fort Collins, CO 80524-4051 | 2013-10-22 |
| 1689842007 | Holly Barron Gustafson | Internal Medicine | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2008-02-19 |
| 1922096239 | Holly S Gustafson | Physician Assistant | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2005-10-11 |
| Street Address |
1169 EASTERN PKWY STE 431 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40217-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202288 | Dennis S Gray | Family Medicine | 1169 Eastern Pkwy, Ste 1111, Louisville, KY 40217-1462 | 2005-06-01 |
| 1124667696 | Kayla Denise Wheatley | Social Worker | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2020-01-02 |
| 1265070775 | Arianne Renee Eads | Behavioral Analyst | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2019-12-16 |
| 1457811721 | James M Beams | Hearing Instrument Specialist | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2019-03-22 |
| 1376015941 | Yusra Shabbir | Behavior Technician | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2018-12-20 |
| 1093287674 | Khoi K Do | Behavior Technician | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2018-12-20 |
| 1962907519 | Ashley Abrams | Behavior Technician | 1169 Eastern Pkwy, Louisville, KY 40217-1417 | 2018-03-27 |
| 1487172664 | Liltoyntia Jones-dikuwa | Social Worker | 1169 Eastern Pkwy, Suite # 3364, Louisville, KY 40217 | 2017-09-07 |
| 1720520745 | Sandra Gallagher | Marriage & Family Therapist | 1169 Eastern Pkwy, Suite 3364, Louisville, KY 40217-1417 | 2016-11-08 |
| 1982079059 | A Greater Alternative Inc | Case Management | 1169 Eastern Pkwy, Suite 1138, Louisville, KY 40217-1417 | 2015-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720564016 | Kaela Marie Turley | Nurse Practitioner | 2355 Poplar Level Rd Ste 405, Louisville, KY 40217 | 2018-07-19 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1386185437 | Meredith Brooke Ervin | Counselor | 1169 Eastern Pkwy Ste 3310, Louisville, KY 40217 | 2017-03-08 |
| 1437507621 | Kendra Pickerill | Speech-Language Pathologist | 906 Delor Avenue, Louisville, KY 40217 | 2016-05-27 |
| 1275947186 | Gary Muncy | Massage Therapist | 607 East Brandeis Ave, Louisville, KY 40217 | 2014-06-18 |
| 1912318791 | Stacey Charlotte Elmes | Case Manager/Care Coordinator | 2338 Alexanderave, Louisville, KY 40217 | 2014-05-14 |
| 1275819831 | April Mecasha Cox | Pharmacist | 808 Eastern Parkway, Louisville, KY 40217 | 2011-10-27 |
| 1831346204 | Nikki Renee Wilson | Registered Nurse | 1169 Eastern Pkwy Ste 1226, Louisville, KY 40217 | 2008-08-27 |
| 1497925440 | Sarah Beth Murrow | Chiropractor | 1100 Milton St, Louisville, KY 40217 | 2008-03-06 |
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| Find all providers in zip 40217 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013307545 | Karen Hutcheson | Psychologist | 9720 Park Plaza Ave Unit 103, Louisville, KY 40241-2289 | 2015-02-04 |
| 1063813491 | Julie Marie Greenwell | Psychologist | 2823 Frankfort Ave, Louisville, KY 40206-2639 | 2014-09-04 |
| 1841530722 | Stelios Jack Stylianou | Psychologist | 548 Brentwood Ave, Louisville, KY 40215-2844 | 2013-02-28 |
| 1245392760 | Barbara L Taylor | Psychologist | 2341 Jones Bend Road, Louisville, TN 37777 | 2006-12-14 |
| 1992899611 | Bryan D Carter | Psychologist | 200 East Chestnut Street, Louisville, KY 40202 | 2006-10-03 |
| 1245845163 | Morgan Daffin | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-09-09 |
| 1053934612 | Kayla N Larosa | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-05-18 |
| 1528552627 | Paul Jerome Rosen | Psychologist | 912 Lily Creek Rd Ste 201, Louisville, KY 40243-2815 | 2018-06-21 |
| 1962868182 | Kim Har | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2016-01-04 |
| 1891162152 | Christine Erin Lam Brady | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2015-08-21 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40217 |
Please comment or provide details below to improve the information on DR. HOLLY BETH GUSTAFSON.
| 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.