VIVIAN LEE RAKESTRAW (NPI# 1316975063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316975063 |
| Entity Type | Individual |
| Full Name | VIVIAN LEE RAKESTRAW |
| Other Name | VIVIAN LEE LEFFLER |
| Practice Address |
215 Central Ave Ste 100 Louisville KY 40208-1450 |
| Mailing Address |
501 E Broadway Suite 290 Louisville KY 40202-1785 |
| Practice Telephone | 5028522822 |
| Practice Fax Number | 5028522819 |
| Mailing Telephone | 5022178221 |
| Mailing Fax Number | 5022175056 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2010-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4778P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RN LICENSE | 1025939 | 01 |
| KY | 7100021840 | 05 | |
| IN | 200981170 | 05 | |
| KY | ARNP LICENSE | 4778P | 01 |
| Street Address |
215 CENTRAL AVE STE 100 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40208-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073570958 | Peter A Esch | Internal Medicine | 215 Central Ave Ste 100, Jencare Neighborhood Medical Valley Station, LLC, Louisville, KY 40208-1450 | 2006-04-26 |
| 1154826105 | Mitchell Adam Kutner | Student in an Organized Health Care Education/Training Program | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2018-03-29 |
| 1275038184 | Amanda Johnson Allen | Student in an Organized Health Care Education/Training Program | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2018-03-24 |
| 1467987768 | Lauren Miller | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2017-04-24 |
| 1003270422 | Michael Petry | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2016-04-12 |
| 1902283609 | Ashley Mefford Iles | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2015-05-01 |
| 1063808137 | Sean Warren | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2015-04-15 |
| 1134547045 | Chris Ethridge | Student in an Organized Health Care Education/Training Program | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2014-03-29 |
| 1033358072 | Mary T Skinner | Nurse Practitioner | 215 Central Ave Ste 100, Suite 100, Louisville, KY 40208-1450 | 2009-02-16 |
| 1922211556 | Michael Eli Pendleton | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447784764 | Emmanuel Nwaogu | Nurse Practitioner | 720 West Hill St, Norton Louisville Primary Care, Louisville, KY 40208 | 2017-04-13 |
| 1295277226 | Ausi Transort, LLC | Non-emergency Medical Transport (VAN) | 1907-c S 4th St, Louisville, KY 40208 | 2016-11-08 |
| 1962954198 | Daniel Thomas | Specialist/Technologist | 1514 Central Avenue, Louisville, KY 40208 | 2016-11-04 |
| 1720321185 | Moiz Ahmad Khan | Student in an Organized Health Care Education/Training Program | 619 Montana Ave, Louisville, KY 40208 | 2013-04-03 |
| 1831140771 | Rebecca P Pirkle | Nurse Practitioner | 215 Central Station, 102, Louisville, KY 40208 | 2006-05-15 |
| 1689231375 | Jennifer Hofelich | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2019-05-29 |
| 1962892125 | Catherine Leigh Stone | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2015-01-27 |
| 1659636199 | Robbie Brewer Blair | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2012-07-11 |
| 1700923513 | Robin Goodman | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2007-01-31 |
| 1225060361 | Cindy L Lewis | Nurse Practitioner | 215 Central Ave, 102, Louisville, KY 40208 | 2006-07-07 |
| Find all providers in zip 40208 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40208 |
Please comment or provide details below to improve the information on VIVIAN LEE RAKESTRAW.
| 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.