SALLY ANN FOGG (NPI# 1295111706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295111706 |
| Entity Type | Individual |
| Full Name | SALLY ANN FOGG |
| Other Name | SALLY ANN GRENOBLE |
| Credential | APRN |
| Practice Address |
185 Adam Shepherd Pkwy Shepherdsville KY 40165-6578 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 5029215450 |
| Mailing Telephone | 6154254200 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3009396 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
185 ADAM SHEPHERD PKWY |
| City | SHEPHERDSVILLE |
| State | KY |
| Zip Code | 40165-6578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679507438 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 185 Adam Shepherd Pkwy, Shepherdsville, KY 40165-6578 | 2006-07-10 |
| 1023649423 | Rebecca Marie Burress | Pharmacist | 185 Adam Shepherd Pkwy, Shepherdsville, KY 40165-6578 | 2020-02-04 |
| 1942831078 | Cami Coke | Pharmacist | 185 Adam Shepherd Pkwy, Shepherdsville, KY 40165-6578 | 2020-01-28 |
| 1003456963 | Jonathan Yeung | Pharmacist | 185 Adam Shepherd Pkwy, Shepherdsville, KY 40165-6578 | 2020-01-08 |
| 1912562638 | Alternative Health Solutions LLC | Nurse Practitioner | 185 Adam Shepherd Pkwy, Shepherdsville, KY 40165-6578 | 2019-05-08 |
| 1215320528 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 185 Adam Shepherd Pkwy, Shepherdsville, KY 40165-6578 | 2015-03-11 |
| 1477719987 | Kelley R. Morris | Nurse Practitioner | 185 Adam Shepherd Pkwy, Shepherdsville, KY 40165-6578 | 2008-08-04 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235773532 | John Bryant Coots Jr. | Nurse Practitioner | 210 Cloverwood Ln, Shepherdsville, KY 40165-9263 | 2019-10-30 |
| 1235672726 | Kim Bagby | Nurse Practitioner | 235 Chimney Rock Dr, Shepherdsville, KY 40165-6247 | 2016-12-01 |
| 1437498136 | All About Family Healthcare LLC | Nurse Practitioner | 226 Old Preston Hwy N, Suite 5, Shepherdsville, KY 40165-9233 | 2013-01-31 |
| 1881673515 | Karen Marie Scheich | Nurse Practitioner | 130 W Joe B Hall Ave, Shepherdsville, KY 40165-6028 | 2006-01-11 |
| 1477036994 | Katherine Paige Thompson | Nurse Practitioner | 115 Huston Dr Ste 1, Shepherdsville, KY 40165-7250 | 2018-09-11 |
| 1457839102 | Susan Scuffle | Nurse Practitioner | 802 Overhill Dr, Business Office, Shepherdsville, KY 40165-7252 | 2018-08-04 |
| 1528509460 | Amanda Jolene Parker | Nurse Practitioner | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2017-03-11 |
| 1003272261 | Kaelin Jansen | Nurse Practitioner | 802 Overhill Dr, Business Office, Shepherdsville, KY 40165-7252 | 2016-01-04 |
| 1619359387 | Katherine Redmon | Nurse Practitioner | 802 Overhill Dr, Business Office, Shepherdsville, KY 40165 | 2015-06-18 |
| 1215320528 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 185 Adam Shepherd Pkwy, Shepherdsville, KY 40165-6578 | 2015-03-11 |
| Find all providers in SHEPHERDSVILLE | ||||
| City | SHEPHERDSVILLE |
| Zip Code | 40165 |
Please comment or provide details below to improve the information on SALLY ANN FOGG.
| 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.