TARAH D WAFZIG (NPI# 1124420237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124420237 |
| Entity Type | Individual |
| Full Name | TARAH D WAFZIG |
| Other Name | TARAH D ROBISON |
| Credential | APRN-NP |
| Practice Address |
187 Adam Shepherd Pkwy Ste 5 Shepherdsville KY 40165-7500 |
| Mailing Address |
100 E Liberty St Suite 800 Louisville KY 40202-1434 |
| Practice Telephone | 5025434119 |
| Practice Fax Number | 5025431462 |
| Mailing Telephone | 5025434119 |
| Mailing Fax Number | 5025431462 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3008895 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100365350 | 05 |
| Street Address |
187 ADAM SHEPHERD PKWY STE 5 |
| City | SHEPHERDSVILLE |
| State | KY |
| Zip Code | 40165-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003810987 | Charlotte Kay Ingwersen | Family Medicine | 187 Adam Shepherd Pkwy Ste 5, Shepherdsville, KY 40165-7500 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357729 | Jennifer Gayle Stillwell | Licensed Practical Nurse | 202 Overlook Estates Drive, Shepherdsville, KY 40165 | 2020-08-18 |
| 1538701537 | Melody Lynn Royer | Technician | 164 Beagle Run, Shepherdsville, KY 40165 | 2019-10-10 |
| 1649726258 | Kentucky Cvs Pharmacy LLC | Pharmacy | 157 South Buckman Street, Shepherdsville, KY 40165 | 2016-09-01 |
| 1669866729 | Ashley Krages | Occupational Therapy Assistant | 143b Turtle Bay Ct Apt 5, Shepherdsville, KY 40165 | 2015-03-26 |
| 1548679020 | Debra F Schoenberg | Social Worker | 1305 S. Joe B Hall, Shepherdsviile, KY 40165 | 2014-08-08 |
| 1821438359 | Jon-michael Leblanc | Counselor | 130 S. Joe B. Hall Ave., Shepherdsville, KY 40165 | 2013-06-28 |
| 1750633178 | Lee Alan Roussel | Marriage & Family Therapist | 130 Joe B Hall, Shepherdsville, KY 40165 | 2012-10-09 |
| 1679822977 | Andrew T. Webb | Social Worker | 130 South Joe B. Hall Ave., Shepherdsville, KY 40165 | 2012-08-31 |
| 1306173737 | Enrica T Thomas | Social Worker | 815 John Harper Rd Unit 14, Shepherdsville, KY 40165 | 2009-11-05 |
| 1740452184 | Brian Woodring | Marriage & Family Therapist | 130 Vine St., Shepherdsville, KY 40165 | 2008-03-26 |
| Find all providers in zip 40165 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235485665 | Erika Jean Marie Wooldridge | Nurse Practitioner | 187 Adam Shepherd Pkwy, Suite 5, Shepherdsville, KY 40165-7500 | 2012-08-03 |
| 1508195298 | Wendy Kay Mccarty | Nurse Practitioner | 1707 Cedar Grove Rd Ste 15, Shepherdsville, KY 40165-8572 | 2009-12-09 |
| 1366407090 | Darlene D Brosick | Nurse Practitioner | 115 Huston Dr Ste 1, Shepherdsville, KY 40165-7250 | 2006-04-18 |
| 1609872449 | Emily Anne Moore | Nurse Practitioner | 340 Chapeze Ln, Shepherdsville, KY 40165-8893 | 2005-06-27 |
| 1124571880 | Jamie L Greenert | Nurse Practitioner | 1905 W Hebron Ln Ste 206, Shepherdsville, KY 40165-7467 | 2016-07-29 |
| 1699117226 | At Your Door Mobile Medical Pllc | Nurse Practitioner | 340 Chapeze Ln, Shepherdsville, KY 40165-8893 | 2013-07-24 |
| 1558626317 | Abby Thompson Devine | Nurse Practitioner | 1707 Cedar Grove Rd Ste 15, Shepherdsville, KY 40165-8572 | 2012-07-09 |
| 1295092047 | First Urology, Psc | Nurse Practitioner | 1903 W Hebron Ln, Suite 202, Shepherdsville, KY 40165-7425 | 2012-04-18 |
| 1932466786 | First Urology, Psc | Nurse Practitioner | 1903 W Hebron Ln, Suite 104, Shepherdsville, KY 40165-7425 | 2012-04-18 |
| 1477810687 | First Urology, Psc | Nurse Practitioner | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2012-04-12 |
| Find all providers in SHEPHERDSVILLE | ||||
| City | SHEPHERDSVILLE |
| Zip Code | 40165 |
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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.