JOHN PAUL MUDD (NPI# 1538659479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538659479 |
| Entity Type | Individual |
| Full Name | JOHN PAUL MUDD |
| Credential | PMHNP-BC |
| Practice Address |
800 Zorn Ave Louisville KY 40206-1433 |
| Mailing Address |
965 Samuel St Louisville KY 40204-2458 |
| Practice Telephone | 5022875090 |
| Mailing Telephone | 5025994949 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3012234 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 331 Zorn Pl # 80, Louisville, KY 402061542 | 5022875090 |
| Street Address |
800 ZORN AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40206-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879162 | Leah D Phillips-black | Nurse Practitioner | 800 Zorn Ave, Louisville, KY 40206-1433 | 2005-05-27 |
| 1477150464 | Erika Alexandra Belloso Gonzalez | Dietitian, Registered | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-10-03 |
| 1871100180 | Allana Boone | Dietitian, Registered | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-30 |
| 1245847458 | Ellyn Schill | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-30 |
| 1750996377 | Shirley Ann Willis | Recreation Therapist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-10 |
| 1902411523 | Sarah Michelle Mizell | Recreation Therapist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-10 |
| 1477171171 | Kimberly Williams | Clinic/Center | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-07-08 |
| 1851918817 | Jessica Christine Piercy | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-06-25 |
| 1477179851 | Kayla Janbakhsh | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-06-22 |
| 1396369179 | Sydney Elizabeth Sims | Physician Assistant | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1023547460 | Jeffrey Obiora | Student in an Organized Health Care Education/Training Program | 500 South Preston St, Room 305, Lousiville, KY 40206 | 2017-06-08 |
| 1053840710 | Mary Oliver Humke | Lactation Consultant, Non-RN | 155 N Galt Ave, Louisville, KY 40206 | 2017-06-07 |
| 1417304908 | James Edward Meffert Sr. | Dentist | 1618 Story Ave. (home/office Setting), Louisville, KY 40206 | 2016-05-16 |
| 1235516527 | Jara Nashelle Vega Velez | Internal Medicine | 800 Zorn Ave Dept Of, Louisville, KY 40206 | 2015-05-06 |
| 1184058885 | Reba D Ziller | Occupational Therapist | 4604 Lowe Road, Regis Woods Rehab Center, Louisville, KY 40206 | 2013-08-29 |
| 1407109176 | Jessica L Hoback | Physical Therapy Assistant | 2141 Sycamore Avenue, Louisville, KY 40206 | 2012-10-18 |
| 1598039315 | Mary Barbara Sowers | Emergency Medicine | 611 Emery Rd, Louisville, KY 40206 | 2012-02-24 |
| 1053628479 | Adrian J Pellegrini Md | Nurse Practitioner | 170 Crescent Ave, Louisville, KY 40206 | 2010-09-07 |
| 1518297761 | Kiley Nontell Mcneill | Behavioral Analyst | 1100 East Market St., Louisville, KY 40206 | 2010-01-12 |
| Find all providers in zip 40206 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594385 | Christine Young | Nurse Practitioner | 6804 Bainbridge Ct, Louisville, KY 40228-2335 | 2020-10-07 |
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1235768037 | Patricia Amber Estes | Nurse Practitioner | 234 E Gray St Ste 154, Louisville, KY 40202-1903 | 2020-04-03 |
| 1659903201 | Farrah Alayne Thornsberry | Nurse Practitioner | 1400 Browns Ln Ste B, Louisville, KY 40207-4696 | 2020-02-11 |
| 1376101634 | Erin Lee Srader | Nurse Practitioner | 544 Baxter Ave, Louisville, KY 40204-1784 | 2019-06-03 |
| 1104387752 | Kurt F Kristiansen | Nurse Practitioner | 1862 Douglass Blvd, Louisville, KY 40205-1851 | 2019-03-27 |
| 1831573351 | Karen P Black | Nurse Practitioner | 4504 Spring Bay Ct, Louisville, KY 40241-1773 | 2015-07-14 |
| 1366787798 | Kennetha Porter | Nurse Practitioner | 4710 Champions Trace Ln Ste 102, Louisville, KY 40218-3496 | 2012-12-12 |
| 1407104128 | Tammy Rowland Reddington | Nurse Practitioner | 4004 Hurstbroune Woods Drive, Louisville, KY 40299 | 2012-08-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40206 |
Please comment or provide details below to improve the information on JOHN PAUL MUDD.
| 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.