MS. ELIZABETH M. ARCHER-NANDA (NPI# 1083666085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083666085 |
Entity Type | Individual |
Full Name | MS. ELIZABETH M. ARCHER-NANDA |
Credential | ARNP |
Practice Address |
4001 Dutchmans Ln Suite G-02 Louisville KY 40207-4714 |
Mailing Address |
315 E Broadway Louisville KY 40202-1703 |
Practice Telephone | 5028992673 |
Practice Fax Number | 5028992670 |
Mailing Telephone | 5026292500 |
Mailing Fax Number | 5026293455 |
Enumeration Date | 2006-05-17 |
Last Update Date | 2016-05-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364S00000X | Clinical Nurse Specialist | 3004416 | KY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | ANTHEM PROVIDER NO. | 000000360850 | 01 |
KY | 78014628 | 05 |
Street Address |
4001 DUTCHMANS LN SUITE G-02 |
City | LOUISVILLE |
State | KY |
Zip Code | 40207-4714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881697449 | Jerry Clanton | Specialist | 4001 Dutchmans Ln, Ste 5c, Louisville, KY 40207-4737 | 2005-05-27 |
1508483769 | Amber Nicole Folske | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2020-07-02 |
1386269371 | Sharri Marie Fitzpatrick | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2020-06-15 |
1144868498 | Loran Marie Bernert | Doula | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-12-17 |
1760020531 | Meaghan Elisabeth Baumgardner | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-12-12 |
1306495874 | Matthew Kirk | Physician Assistant | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-09-08 |
1780142984 | Kristal Beach Howard | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-03-06 |
1891279584 | Jacqueline Blake Russ | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2018-09-19 |
1093294415 | Conley Kathryn Labrake | Occupational Therapist | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2018-08-07 |
1427554658 | Jessica Jane Henderson | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2018-04-05 |
Find all providers in the same location |
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 |
Find all providers in zip 40207 |
Taxonomy Code | 364S00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063052249 | Penni Hernandez | Clinical Nurse Specialist | 468 W Sycamore Ct, Louisville, CO 80027-2229 | 2020-01-15 |
1720275332 | Rhonda D. Casey | Clinical Nurse Specialist | 3991 Dutchmans Ln, Suite 405, Louisville, KY 40207-4700 | 2007-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851680128 | Regina Marie Marcinek | Clinical Nurse Specialist | 800 Rose Street Room Mn-524, University of Kentucky, Lexington, KY 40536-0298 | 2011-04-07 |
1275631749 | Deborah Joyce Mcdonald-ferko | Clinical Nurse Specialist | 7419 Cedar Bluff Ct, Prospect, KY 40059-7404 | 2006-09-20 |
1104230598 | Melissa Johnson | Clinical Nurse Specialist | 300 S 8th St, Ste 480w, Murray, KY 42071-2400 | 2014-06-13 |
1114234077 | Twin Lakes Medical Foundation, Inc | Clinical Nurse Specialist | 1895 Elizabethtown Rd., Leitchfield, KY 42754-9138 | 2010-09-13 |
1134433931 | Deborah Lynn Bray | Clinical Nurse Specialist | 1532 Lone Oak Rd, Suite 415, Paducah, KY 42003-7913 | 2010-08-04 |
1184810541 | Tara L Lykins | Clinical Nurse Specialist | 1532 Lone Oak Rd, Suite 415, Paducah, KY 42003-7913 | 2007-09-19 |
1184657652 | Karen A. Mulholland | Clinical Nurse Specialist | 1221 S Broadway, Lexington, KY 40504-2701 | 2006-07-08 |
City | LOUISVILLE |
Zip Code | 40207 |
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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.