STACEY ROBERTS


Address: 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372
Phone: 5028918300

STACEY ROBERTS (NPI# 1083066039) 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) 1083066039
Entity Type Individual
Full Name STACEY ROBERTS
Other Name STACEY GUELDA
Practice Address 6420 Dutchmans Pkwy
Suite 200
Louisville
KY 40205-3372
Mailing Address Po Box 766351
Chicago
IL 60677-6351
Practice Telephone 5028918300
Mailing Telephone 5025889490
Mailing Fax Number 5022725116
Enumeration Date 2016-07-01
Last Update Date 2017-03-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
3009927 KY Physician Assistants & Advanced Practice Nursing Providers

Other Providers STACEY ROBERTS

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1457841082 Stacey O Roberts Massage Therapist 700 S Sycamore St Ste 7, Petersburg, VA 23803-5804 2018-05-18
1952577066 Stacey Marie Roberts Speech-Language Pathologist 23 Neuse Landing Dr, Clayton, NC 27527-6029 2008-05-08
1396914263 Stacey Roberts Occupational Therapy Assistant 17923 144th Ave, Jamaica, NY 11434-5923 2008-02-26
1447337324 Stacey Thanh Roberts Social Worker 300 Hamilton Ave Ste 201, White Plains, NY 10601-1818 2006-10-31
1831656230 Stacey Lynn Roberts Nurse Practitioner 13345 Illinois St, Carmel, IN 46032 2019-02-22
1821514712 Stacey Roberts Physical Therapist 13825 W Burleigh Rd, Brookfield, WI 53005-3058 2017-08-22
1699108043 Stacey Roberts Behavioral Analyst 27240 Turnberry Ln, Ste 240, Valencia, CA 91355-1029 2013-08-20
1770858409 Stacey Michelle Roberts Pharmacist 60 Division Ave, Eugene, OR 97404-5427 2012-03-13
1891969531 Stacey Amy Roberts Dietitian, Registered 131 Fm 3168, Raymondville, TX 78580-3605 2008-04-14
1194921437 Stacey A. Roberts Counselor 142 Javit Ct, Youngstown, OH 44515-2409 2007-06-25

Office Location

Street Address 6420 DUTCHMANS PKWY
SUITE 200
City LOUISVILLE
State KY
Zip Code 40205-3372

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720084262 Kenneth Lorne Balcombe Otolaryngology 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3372 2005-06-21
1356897227 The Cataract Vision Institute LLC Clinic/Center 6420 Dutchmans Pkwy, Suite 185, Louisville, KY 40205-3372 2016-08-30
1619344975 Megan Nicole Cahill Nurse Practitioner 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 2015-08-21
1275909343 Alexandra Spata Physical Therapist 6420 Dutchmans Pkwy, Suite 160, Louisville, KY 40205-3372 2015-08-12
1538545009 Kayla Fowler Physical Therapist 6420 Dutchmans Pkwy, Suite 160, Louisville, KY 40205-3372 2015-08-06
1134555402 Cristal L Pollak Nurse Practitioner 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 2013-09-18
1649605502 Elizabeth R Krupiczewicz Nurse Practitioner 6420 Dutchmans Pkwy, Ste.200, Louisville, KY 40205 2013-09-11
1932443892 Melanie Therese Twyman Nurse Practitioner 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 2012-11-16
1639431968 Melissa Dawn Wright Nurse Practitioner 6420 Dutchmans Pkwy, Ste.200, Louisville, KY 40205-3372 2012-06-12
1487912796 The Lasik Vision Institute, LLC Clinic/Center 6420 Dutchmans Pkwy, Suite 185, Louisville, KY 40205-3372 2012-04-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558844027 Arthur James Shulthise Jr. Family Medicine Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 2018-09-11
1609392133 Leah Elizabeth Storch Occupational Therapist 2231 Wendell Ave, Louisville, KY 40205 2017-08-16
1437679842 Michael Edward Lovelace Family Medicine 1800 Stevens Avenue, Louisville, KY 40205 2017-06-27
1699205328 Nathaniel George Kennedy Physician Assistant 3101 Bardstown Road, Sullivan University Physician Assistant Program, Louisville, KY 40205 2017-06-14
1225584972 Kalpana Bhaskar Pharmacist 3036 Bardstown Road, Louisville, KY 40205 2016-08-31
1013398627 William Wood Hearing Instrument Specialist 2239 Bardstown Rd., Louisville, KY 40205 2015-06-10
1811306707 Alaina Rotelli Pharmacist 2100 Gardiner Lane, Louisville, KY 40205 2014-08-05
1013325760 Jaime Alexandra Seelmeyer Counselor 1718 Deerwood Ave, Apt 1, Louisville, KY 40205 2014-07-25
1992009336 Priscilla Freeman Case Manager/Care Coordinator 3171 Taylorsville Rd, 1st Floor, Louisville, KY 40205 2010-12-28
1457501413 Amanda Christine Voils-levenda Psychologist 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 2008-09-26
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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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
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1033722525 Bynisha Robertson Nurse Practitioner 5312 Sprigwood Ln, Louisville, KY 40291-1135 2020-08-25
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Competitor

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City LOUISVILLE
Zip Code 40205

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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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