SHERITHA BOUSSO (NPI# 1366801383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366801383 |
| Entity Type | Individual |
| Full Name | SHERITHA BOUSSO |
| Practice Address |
3220 Commander Dr #203 Louisville KY 40220-1776 |
| Practice Telephone | 5022812167 |
| Mailing Telephone | 5022812167 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers |
| Street Address |
3220 COMMANDER DR #203 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40220-1776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502560 | Louis James Walker IIi | Physical Therapist | 8904 Elks Bluff Drive, Unit 02206, Apt 206, Louisville, KY 40220 | 2020-09-10 |
| 1396207148 | Kristan Shay Swindler | Specialist/Technologist, Other | 3008 Furman Blvd., Louisville, KY 40220 | 2019-04-02 |
| 1033686191 | Reine Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3405 Breckenridge Lane, Louisville, KY 40220 | 2018-10-26 |
| 1053828145 | Angelique Marie Leist | Registered Nurse | 3103 Breckenridge Ln Ste 1, Louisville, KY 40220 | 2018-01-10 |
| 1811413925 | Virginia Zimlich | Physical Therapist | 2807 Alice Ave, Louisville, KY 40220 | 2017-08-21 |
| 1255860649 | Susan Marie Elder | Registered Nurse | 2816 Esther Blvd, Louisville, KY 40220 | 2017-06-08 |
| 1215300611 | Katie Kipfer | Day Training/Habilitation Specialist | 3902 Graf Drive, Louisville, KY 40220 | 2015-11-06 |
| 1639547987 | Meghan Hillerich | Home Health | 13 Canterbury Drive, Louisville, KY 40220 | 2015-09-03 |
| 1376921098 | Dental Services of Kentucky, Psc | Dentist | 3946 Taylorsville Rd., Louisville, KY 40220 | 2015-05-14 |
| 1093103574 | Joann Bartolone Murphy | Developmental Therapist | 3717 Taylorsville Rd., Louisville, KY 40220 | 2015-01-06 |
| Find all providers in zip 40220 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174936355 | Jtek Enterprises, LLC | Contractor | 1328 Monter Ave, Louisville, OH 44641-2034 | 2014-06-05 |
| 1548559818 | Michael D Blakey | Contractor | 12021 Ancient Spring Dr, Louisville, KY 40245-1803 | 2011-04-07 |
| 1659970788 | Chasity Lanham | Contractor | 1001 Springside Way, Louisville, KY 40223-3782 | 2020-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376705954 | Christina Joy Etheridge | Contractor | 127 Tara Ct, Benton, KY 42025-7513 | 2008-06-25 |
| 1194984443 | Phil James Nyderek Sr. | Contractor | 103 Ashmoore Drive, Greenup, KY 41144 | 2008-06-03 |
| City | LOUISVILLE |
| Zip Code | 40220 |
Please comment or provide details below to improve the information on SHERITHA BOUSSO.
| 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.