MISS THERESA LYNN CLIFFORD


Address: 60 Mack Walters Rd, Shelbyville, KY 40065-1738
Phone: 5026334622

MISS THERESA LYNN CLIFFORD (NPI# 1316029507) 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) 1316029507
Entity Type Individual
Full Name MISS THERESA LYNN CLIFFORD
Credential F.N.P., A.P.R.N.
Practice Address 60 Mack Walters Rd
Shelbyville
KY 40065-1738
Mailing Address 100 E Liberty St Ste 800
Louisville
KY 40202-1428
Practice Telephone 5026334622
Practice Fax Number 5026336925
Mailing Telephone 5026334622
Mailing Fax Number 5026336925
Enumeration Date 2006-10-19
Last Update Date 2018-04-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
3002154 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY PASSPORT ADVANTAGE 3722988000 01
KY PASSPORT 50024463 01
KY ANTHEM 000000626807 01
KY 7100078250 05

Other Providers THERESA CLIFFORD

NPI Name Taxonomy Address Enumeration
1568972545 Theresa Clifford Home Health Aide 2795 Amboy Rd, Staten Island, NY 10306-2157 2017-10-04
1811266703 Theresa M Clifford Registered Nurse 34 W Nyack Rd, Nanuet, NY 10954-2931 2011-12-21
1285807388 Theresa Elizabeth Clifford Speech-Language Pathologist 3708 Lawrence Dr, Naperville, IL 60564-4172 2008-04-09

Office Location

Street Address 60 MACK WALTERS RD
City SHELBYVILLE
State KY
Zip Code 40065-1738

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679578058 Brook Thomas Massey Family Medicine 60 Mack Walters Rd, Shelbyville, KY 40065-1738 2005-06-14
1265916936 Candia Marie Broughton Nurse Practitioner 60 Mack Walters Rd, Shelbyville, KY 40065-1738 2018-09-19
1215378237 Emily Dehart Flowers Nurse Practitioner 60 Mack Walters Rd, Shelbyville, KY 40065-1738 2013-07-08
1942598370 Rebecca Elizabeth Dydynski Nurse Practitioner 60 Mack Walters Rd, Shelbyville, KY 40065-1738 2011-07-19
1518104561 Sara M Wellman Nurse Practitioner 60 Mack Walters Rd, Shelbyville, KY 40065-1738 2009-01-13
1376721019 Lisa Carol Arvin Dietitian, Registered 60 Mack Walters Rd, Shelbyville, KY 40065-1738 2008-02-05
1932281730 Shelby Family Medicine Psc Family Medicine 60 Mack Walters Rd, Shelbyville, KY 40065-1738 2006-10-20
1952412454 Anthony D Weaver Internal Medicine 60 Mack Walters Rd, Shelbyville, KY 40065-1738 2006-08-31
1437177797 Leticia Kathryn Allen Family Medicine 60 Mack Walters Rd, Shelbyville, KY 40065-1738 2006-07-17
1992797021 William Powers Family Medicine 60 Mack Walters Rd, Shelbyville, KY 40065-1738 2005-08-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013348242 Elisa Sykes-brees Counselor 250 Alpine Drive, Shelbyville, KY 40065 2013-12-13
1073800512 Mimi Y. R. Rayburn Nurse Practitioner 865 Old Taylorsville Rd, Shelbyville, KY 40065 2011-07-05
1124310677 Amanda B Dassel Pharmacist 1605 Midland Trail, Shelbyville, KY 40065 2011-05-03
1639468812 Tia M Alton Pediatrics 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 2011-03-29
1699073338 Emily Ann Waits Dietitian, Registered 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 2011-03-04
1124335401 Kelli L. Fetter Occupational Therapist 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 2010-09-08
1083939425 Marilyn Louise Rhoads Licensed Practical Nurse 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 2010-03-29
1154525277 Dorman Preschool Center Early Intervention Provider Agency 719 Burks Branch Road, Shelbyville, KY 40065 2007-06-13
1194946368 Joanna Sames Pharmacist 16 Village Plaza, Shelbyville, KY 40065 2007-05-02
1033298922 Robyn A Keeling Dentist 502 Mount Eden Rd, Shelbyville, KY 40065 2006-11-03
Find all providers in zip 40065

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568083038 Lisa Marie Lee Nurse Practitioner 300 Northridge Dr, Shelbyville, IN 46176-8954 2020-05-06
1003475534 Melissa Marie Pritchett Nurse Practitioner 768 Friesian Ct, Shelbyville, KY 40065-7211 2019-06-09
1508347154 Kathryn Nicole Neisler Nurse Practitioner 2451 Intelliplex Dr Ste 210, Shelbyville, IN 46176-8581 2018-08-22
1649750167 Mary Elizabeth Lamb Nurse Practitioner 80 Providence Rd, Shelbyville, TN 37160-4835 2018-08-14
1194224998 Stephen Blake Feldhaus Nurse Practitioner 112 Airport Business Park Rd, Ste H, Shelbyville, TN 37160 2018-02-07
1174066013 Katherine Washburn Nurse Practitioner 311 Boone Station Rd Lot, Shelbyville, KY 40065-8673 2016-11-27
1144777335 Johanna Coursey Nurse Practitioner 6799 Frankfort Rd, Shelbyville, KY 40065-9495 2016-09-06
1104294776 Right Care, Shelbyville, LLC Nurse Practitioner 1731 N Main St, Suite F, Shelbyville, TN 37160-2372 2015-09-12
1467863613 Janell Chunn Williams Nurse Practitioner 120 Montgomery Rd, Shelbyville, TN 37160-6258 2014-05-09
1013332329 Nikki Michelle Turner Nurse Practitioner 208 Lane Pkwy, Shelbyville, TN 37160-3109 2014-02-24
Find all providers in SHELBYVILLE

Competitor

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City SHELBYVILLE
Zip Code 40065

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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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