TERESA MICHELLE MATTINGLY (NPI# 1306499199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306499199 |
| Entity Type | Individual |
| Full Name | TERESA MICHELLE MATTINGLY |
| Credential | APRN |
| Practice Address |
6400 Dutchmans Pkwy Ste 250 Louisville KY 40205-3354 |
| Mailing Address |
4119 Nachand Ln Louisville KY 40218-2841 |
| Practice Telephone | 5025879660 |
| Mailing Telephone | 5024392396 |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2019-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
3013645 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KENTUCKY BOARD OF NUR | 3013645 | 01 |
| Street Address |
6400 DUTCHMANS PKWY STE 250 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40205-3354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235542747 | Brian Edward Macy | Nurse Practitioner | 6400 Dutchmans Pkwy Ste 250, Louisville, KY 40205-3354 | 2014-06-03 |
| 1891303319 | Brianna Flanigan | Nurse Practitioner | 6400 Dutchmans Pkwy Ste 250, Louisville, KY 40205-3354 | 2020-07-21 |
| 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 |
| Find all providers in zip 40205 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329959 | Margaret Taylor Stevenson | Nurse Practitioner | 9302 Villa Fair Ct, Louisville, KY 40291-1493 | 2020-02-27 |
| 1710469994 | Edumedics | Nurse Practitioner | 201 E Jefferson St., Ste 102, Louisville, KY 40202 | 2018-09-04 |
| 1316312630 | Julianne Evers | Nurse Practitioner | 200 Chestnut Street, Louisville, KY 40202 | 2015-12-11 |
| 1194198606 | Javier Rodriguez | Nurse Practitioner | 2523 Wendell Ave, Louisville, KY 40205-3011 | 2015-11-05 |
| 1285067827 | Stephanie Jo Ford | Nurse Practitioner | 550 S. Jackson Street, Department of Pulmonary Disease, Louisville, KY 40202 | 2013-08-19 |
| 1093916900 | Judi Lynn Kuric | Nurse Practitioner | 4001 Kresge Way Ste 238, Louisville, KY 40207-4640 | 2007-05-29 |
| 1346233970 | Kimberly S Meyer | Nurse Practitioner | 220 Abraham Flexner Way # 1200, Louisville, KY 40202-3826 | 2005-08-30 |
| 1881292548 | Elizabeth Ann Blandford | Nurse Practitioner | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-15 |
| 1275147530 | Sarah Elizabeth Holloway | Nurse Practitioner | 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241-2847 | 2020-09-03 |
| 1659989226 | Jennifer Leigh Austin | Nurse Practitioner | 3 Audubon Plaza Dr Ste 560, Louisville, KY 40217-1376 | 2020-07-20 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40205 |
Please comment or provide details below to improve the information on TERESA MICHELLE MATTINGLY.
| 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.