MRS. NANCY C WYNN (NPI# 1023061728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023061728 |
| Entity Type | Individual |
| Full Name | MRS. NANCY C WYNN |
| Other Name | NANCY BURGESS |
| Credential | APRN |
| Practice Address |
5129 Dixie Hwy Suite 100 Louisville KY 40216-1727 |
| Practice Telephone | 5024478786 |
| Practice Fax Number | 5024478623 |
| Mailing Telephone | 5024478786 |
| Mailing Fax Number | 5024478623 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1106181 | KY | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 3004584 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
3004584 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000537179 | 01 | |
| KY | 710034392 | 05 |
| Street Address |
5129 DIXIE HWY SUITE 100 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40216-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396746541 | W Norris Jennings | Family Medicine | 5129 Dixie Hwy, Louisville, KY 40216-1727 | 2005-08-09 |
| 1225430275 | Listen Hear LLC | Hearing Aid Equipment | 5129 Dixie Hwy, Suite 208, Louisville, KY 40216-1727 | 2014-09-22 |
| 1235553660 | Jefferson Health and Wellness | Chiropractor | 5129 Dixie Hwy, Suite 301, Louisville, KY 40216-1727 | 2014-02-05 |
| 1093072266 | First Urology, Psc | Nurse Practitioner | 5129 Dixie Hwy, Suite 307, Louisville, KY 40216-1727 | 2012-04-12 |
| 1437454105 | Lisa A Hosch | Registered Nurse | 5129 Dixie Hwy, Suite 100, Louisville, KY 40216-1727 | 2011-01-11 |
| 1457671281 | Katrina Fern Lambert | Radiology | 5129 Dixie Hwy, Suite 100, Louisville, KY 40216-1727 | 2010-06-03 |
| 1578701223 | Jessica Lynn Schum | Family Medicine | 5129 Dixie Hwy, Suite 100, Louisville, KY 40216-1727 | 2009-02-02 |
| 1144495136 | Matthew S Clower | Radiology | 5129 Dixie Hwy, Suite 100, Louisville, KY 40216-1727 | 2008-04-29 |
| 1003032079 | Associates In General Surgery,psc | Surgery | 5129 Dixie Hwy, 205, Louisville, KY 40216-1727 | 2007-04-18 |
| 1376674945 | Christopher M. Massey | Radiology | 5129 Dixie Hwy, Suite 100, Louisville, KY 40216-1727 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291813 | Austin Roush | Occupational Therapist | 4512 River Front Dr, Louisville, KY 40216 | 2019-08-20 |
| 1689226201 | A Better You Health Services, Pllc | Nurse Practitioner | 1719 Colony Court, Louisille, KY 40216 | 2019-07-13 |
| 1649765462 | Bbb of Ky, LLC | Dentist | 5225 Dixie Hwy, Louisville, KY 40216 | 2018-06-25 |
| 1154829521 | Farnsley Chiropractic, Pllc | Chiropractor | 3500 Dixie Highway, Louisville, KY 40216 | 2018-01-31 |
| 1114441110 | Ryan Michael Alpino | Optometrist | 4917 1/2 Dixie Hwy, Suite H, Louisville, KY 40216 | 2017-08-01 |
| 1528595873 | Kentucky Injury & Rehab LLC | Chiropractor | 5120 Dixie Hwy Suite 106, Louisville, KY 40216 | 2017-05-17 |
| 1326598533 | Nichelle Marshall | Nurse Practitioner | 4912 Dixie Highway, Louisville, KY 40216 | 2016-10-12 |
| 1891194833 | Denise Yvonne Payne | Dentist | 4115 Dixie Highway, Louisville, KY 40216 | 2014-08-15 |
| 1881031052 | Brian L. Tripp | Veterinarian | 2401 Dixie Highway, Louisville, KY 40216 | 2013-05-29 |
| 1134468028 | West Dixie Spine and Rehab Centers | Chiropractor | 5105 B Dixie Hwy, Louisville, KY 40216 | 2013-02-12 |
| Find all providers in zip 40216 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329959 | Margaret Taylor Stevenson | Nurse Practitioner | 9302 Villa Fair Ct, Louisville, KY 40291-1493 | 2020-02-27 |
| 1710469994 | Edumedics | Nurse Practitioner | 201 E Jefferson St., Ste 102, Louisville, KY 40202 | 2018-09-04 |
| 1316312630 | Julianne Evers | Nurse Practitioner | 200 Chestnut Street, Louisville, KY 40202 | 2015-12-11 |
| 1194198606 | Javier Rodriguez | Nurse Practitioner | 2523 Wendell Ave, Louisville, KY 40205-3011 | 2015-11-05 |
| 1285067827 | Stephanie Jo Ford | Nurse Practitioner | 550 S. Jackson Street, Department of Pulmonary Disease, Louisville, KY 40202 | 2013-08-19 |
| 1093916900 | Judi Lynn Kuric | Nurse Practitioner | 4001 Kresge Way Ste 238, Louisville, KY 40207-4640 | 2007-05-29 |
| 1346233970 | Kimberly S Meyer | Nurse Practitioner | 220 Abraham Flexner Way # 1200, Louisville, KY 40202-3826 | 2005-08-30 |
| 1881292548 | Elizabeth Ann Blandford | Nurse Practitioner | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-15 |
| 1275147530 | Sarah Elizabeth Holloway | Nurse Practitioner | 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241-2847 | 2020-09-03 |
| 1659989226 | Jennifer Leigh Austin | Nurse Practitioner | 3 Audubon Plaza Dr Ste 560, Louisville, KY 40217-1376 | 2020-07-20 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40216 |
Please comment or provide details below to improve the information on MRS. NANCY C WYNN.
| 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.