KAREN EASTRIDGE LLC (NPI# 1477767549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477767549 |
| Entity Type | Organization |
| Organization Name | KAREN EASTRIDGE LLC |
| Other Organization Name | DIABETES WELLNESS AND HEALTHCARE |
| Practice Address |
1553 Highway 44 E Ste 2 Shepherdsville KY 40165-7183 |
| Practice Telephone | 5029210055 |
| Practice Fax Number | 5028050056 |
| Mailing Telephone | 5029210055 |
| Mailing Fax Number | 5028050056 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-11-01 |
| Authorized Official Name | MRS. KAREN EASTRIDGE (OWNER-PRACTIONER) |
| Authorized Official Telephone | 5024152828 |
| Authorized Official Credential | NPC, CDE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
3658P | KY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Diabetes Wellness and Healthcare | Doing Business As Name - Organization |
| Street Address |
1553 HIGHWAY 44 E STE 2 |
| City | SHEPHERDSVILLE |
| State | KY |
| Zip Code | 40165-7183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357729 | Jennifer Gayle Stillwell | Licensed Practical Nurse | 202 Overlook Estates Drive, Shepherdsville, KY 40165 | 2020-08-18 |
| 1538701537 | Melody Lynn Royer | Technician | 164 Beagle Run, Shepherdsville, KY 40165 | 2019-10-10 |
| 1649726258 | Kentucky Cvs Pharmacy LLC | Pharmacy | 157 South Buckman Street, Shepherdsville, KY 40165 | 2016-09-01 |
| 1669866729 | Ashley Krages | Occupational Therapy Assistant | 143b Turtle Bay Ct Apt 5, Shepherdsville, KY 40165 | 2015-03-26 |
| 1548679020 | Debra F Schoenberg | Social Worker | 1305 S. Joe B Hall, Shepherdsviile, KY 40165 | 2014-08-08 |
| 1821438359 | Jon-michael Leblanc | Counselor | 130 S. Joe B. Hall Ave., Shepherdsville, KY 40165 | 2013-06-28 |
| 1750633178 | Lee Alan Roussel | Marriage & Family Therapist | 130 Joe B Hall, Shepherdsville, KY 40165 | 2012-10-09 |
| 1679822977 | Andrew T. Webb | Social Worker | 130 South Joe B. Hall Ave., Shepherdsville, KY 40165 | 2012-08-31 |
| 1306173737 | Enrica T Thomas | Social Worker | 815 John Harper Rd Unit 14, Shepherdsville, KY 40165 | 2009-11-05 |
| 1740452184 | Brian Woodring | Marriage & Family Therapist | 130 Vine St., Shepherdsville, KY 40165 | 2008-03-26 |
| Find all providers in zip 40165 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468147 | Mountain Health Care | Clinic/Center | 3056 Ky Route 321, Prestonsburg, KY 41653-9105 | 2020-02-09 |
| 1215276282 | Denali Iom | Clinic/Center | 1211 Griffith Ave, Owensboro, KY 42301-2816 | 2013-02-11 |
| 1548551054 | Ideal Image | Clinic/Center | 3604 Springhurst Blvd, Louisville, KY 40241-4142 | 2011-05-02 |
| 1609179589 | Paul L Patterson II Od Psc | Clinic/Center | 295 Campbellsville Byp Ste 1, Campbellsville, KY 42718-7870 | 2010-12-14 |
| 1437482072 | Ephraim Mcdowell Health Resource, Inc. | Clinic/Center | 216 West Walnut, Suite B, Danville, KY 40422-1824 | 2009-09-15 |
| 1285813469 | Chiaki Gauntt Md Pllc | Clinic/Center | 1917 S Highway 53, La Grange, KY 40031-8574 | 2007-10-24 |
| 1760525067 | Lagrange Wellness Chiropractoc | Clinic/Center | 2005 S Highway 53 Ste C, Lagrange, KY 40031-9109 | 2007-02-15 |
| 1316441975 | Renew Recovery, LLC | Clinic/Center | 599 Freedom Park Dr, Crestview Hills, KY 41017 | 2018-03-20 |
| 1801249925 | Shriners Hospitals for Children | Clinic/Center | 110 Conn Ter, Lexington, KY 40508-3206 | 2016-07-14 |
| 1346625613 | Mansfield Eye Clinic, Pllc | Clinic/Center | 5101 Hinkleville Rd, Ste 490, Paducah, KY 42001-9049 | 2015-07-28 |
| Find all providers with the same taxonomy | ||||
| City | SHEPHERDSVILLE |
| Zip Code | 40165 |
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| 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.