KASEY FAWBUSH


Address: 6500 Preston Hwy, Louisville, KY 40219-1820
Phone: 5028935502

KASEY FAWBUSH (NPI# 1295201770) 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) 1295201770
Entity Type Individual
Full Name KASEY FAWBUSH
Credential FNP
Practice Address 6500 Preston Hwy
Louisville
KY 40219-1820
Practice Telephone 5028935502
Practice Fax Number 5027218670
Mailing Telephone 5028935502
Enumeration Date 2018-10-22
Last Update Date 2020-10-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 3012544 KY Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
3012544 KY Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
3012544 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 300033161 05
KY 7100562140 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
120 Executive Park, Louisville, KY 402074201 5028557200 5028557201
145 Brookeway Dr, Mount Washington, KY 400475576 5025382430

Office Location

Street Address 6500 PRESTON HWY
City LOUISVILLE
State KY
Zip Code 40219-1820

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093715195 Monita Chary Internal Medicine 6500 Preston Hwy, Louisville, KY 40219-1820 2005-07-29
1932675865 Pediatric and Neonatal Specialists Pediatrics 6500 Preston Hwy, Louisville, KY 40219-1820 2018-10-18
1083180905 Allison Mckenzie Theobald Nurse Practitioner 6500 Preston Hwy, Louisville, KY 40219-1820 2018-10-18
1518456888 Sarah Simpson Nurse Practitioner 6500 Preston Hwy, Louisville, KY 40219-1820 2018-05-02
1538667076 Monica Vermani Durr Nurse Practitioner 6500 Preston Hwy, Louisville, KY 40219-1820 2018-01-30
1245762442 Kara Lee Scott Nurse Practitioner 6500 Preston Hwy, Louisville, KY 40219-1820 2017-03-28
1396103404 Cynthia Lynn Williams Nurse Practitioner 6500 Preston Hwy, Louisville, KY 40219 2016-02-03
1790042901 First Urology, Psc Nurse Practitioner 6500 Preston Hwy, Louisville, KY 40219-1820 2012-04-12
1477875920 Beth A Karaoud Nurse Practitioner 6500 Preston Hwy, Louisville, KY 40219-1820 2010-02-25
1306093828 Pollyanna Henzman Strunk Nurse Practitioner 6500 Preston Hwy, Louisville, KY 40219-1820 2008-08-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255948154 Kathleen B Berghausen Nurse Practitioner 4112 Fern Valley Rod, Louisville, KY 40219 2020-09-25
1174165989 Joann Deborah Hobbs Nurse Practitioner 8216 Delido Rd, Louisville, KY 40219 2019-10-14
1962989319 Jennifer Lynn Pinkerton Hearing Instrument Specialist 7326 Preston Hwy, Suite 206a, Louisville, KY 40219 2018-07-27
1942748447 Melissa Freeman Emanuele Speech-Language Pathologist 1550 Raydale Drive, Lousville, KY 40219 2017-02-03
1083014013 Christopher Maxey Specialist/Technologist Fern Valley Rd, Louisville, KY 40219 2014-08-27
1679985949 Antwan Turner Case Manager/Care Coordinator 5523 Saxon Blvd, Louisville, KY 40219 2014-05-21
1386055168 Kelly Larson Case Manager/Care Coordinator 6809 Bebe Ct., Louisville, KY 40219 2014-05-14
1639414626 Prettysmilesdenturesandmorellc Dentist 19123 West Mcnichols Rd, Detroit, MI 40219 2012-12-03
1881967701 Vickie Lynn Dixon Homemaker 3516 Templewood Dr., Louisville, KY 40219 2012-02-23
1811157555 Tonya Lynn Frost Chiropractor 4300 Outer Loop Ste 10, Louisville, KY 40219 2008-06-16
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326695255 Norton Childrens Medical Group, LLC Nurse Practitioner 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 2019-08-26
1407402209 Elleanor Gray Nurse Practitioner 411 E Chestnut St Ste 645, Louisville, KY 40202-1713 2019-08-16
1245287440 Tammy A Pasko Nurse Practitioner 234 E. Gray St., Ste. 270, Louisville, KY 40202-1903 2006-05-31
1013988351 Kellie Woodruff Nurse Practitioner 411 E Chestnut St # Street7, Louisville, KY 40202-1713 2006-01-26
1639172554 Sharon C Metcalf Nurse Practitioner 555 S Floyd St, Louisville, KY 40202-3801 2005-05-24
1619582616 Erica Ashley Persichetti Nurse Practitioner 90 Health Park Dr Ste 160, Louisville, CO 80027-9742 2020-09-15
1295361723 Karen A Powers Nurse Practitioner 411 E Chestnut St # Street7, Louisville, KY 40202-1713 2020-03-16
1346872074 Elizabeth Cotton Nurse Practitioner 231 E Chestnut St, Louisville, KY 40202-1821 2020-02-11
1336771161 Norton Children's Medical Group, LLC Nurse Practitioner 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 2020-02-10
1689206906 Lacey G Sanford Nurse Practitioner 417 Benjamin Ln Ste 101, Louisville, KY 40222-4939 2020-02-05
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Competitor

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City LOUISVILLE
Zip Code 40219

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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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