MS. SHANNON RAE BRETZ


Address: 3900 Kresge Way, Louisville, KY 40207-4660
Phone: 5028918700

MS. SHANNON RAE BRETZ (NPI# 1649433434) 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) 1649433434
Entity Type Individual
Full Name MS. SHANNON RAE BRETZ
Credential ARNP
Practice Address 3900 Kresge Way
Louisville
KY 40207-4660
Practice Telephone 5028918700
Practice Fax Number 5028918709
Mailing Telephone 5028918700
Mailing Fax Number 5028918709
Enumeration Date 2008-07-02
Last Update Date 2008-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
46208 KY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3900 KRESGE WAY
City LOUISVILLE
State KY
Zip Code 40207-4660

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225032014 Anthony George Jr. Specialist 3900 Kresge Way, Suite 31, Louisville, KY 40207-4660 2005-06-09
1821649849 Amanda Hellmueller Nurse Practitioner 3900 Kresge Way, Louisville, KY 40207-4660 2019-09-20
1063948677 Lyndsay P Delaney Nurse Practitioner 3900 Kresge Way, Suite 46, Louisville, KY 40207-4660 2017-05-03
1902343957 Susette R Roark Nurse Practitioner 3900 Kresge Way, Ste 46, Louisville, KY 40207-4660 2017-01-30
1194198077 Emily Dubois Hollander Midwife 3900 Kresge Way, Suite 30, Louisville, KY 40207-4660 2015-11-02
1932503919 Rose Ballard Nurse Practitioner 3900 Kresge Way, Suite 56, Louisville, KY 40207-4660 2014-10-20
1508104258 Tabitha Satterly-welborn Nurse Practitioner 3900 Kresge Way, Suite 46, Louisville, KY 40207-4660 2013-01-30
1023361003 Kristen Rae Hord Physician Assistant 3900 Kresge Way, Ste 30, Louisville, KY 40207-4660 2012-10-16
1710238001 Kaitlin Sullivan Physician Assistant 3900 Kresge Way, Suite 30, Louisville, KY 40207-4660 2012-09-26
1538415070 Diana Blevins Nurse Practitioner 3900 Kresge Way, Ste.46, Louisville, KY 40207-4660 2012-08-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780212688 Alexia Louise Bodamer Student in an Organized Health Care Education/Training Program 142 Chenoweth Lane, Lousiville, KY 40207 2020-03-28
1467918664 Amy Rock LLC Counselor 4010 Dupont Cir Ste 307, Louisville, KY 40207 2019-02-13
1649745191 Louisville Optometric Center, IIi, Psc Optometrist 285 Hubbards Lane, Suite 300, Louisville, KY 40207 2018-10-11
1184137440 Crimson Dove Counseling Services Inc Community/Behavioral Health 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 2017-11-09
1285157586 Dickerson Family Enterprise, LLC Non-emergency Medical Transport (VAN) 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 2017-07-19
1578085296 Cardiovascular Medical Specialists LLC Surgery 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 2017-07-14
1932636305 Devon Turley Prevention Professional 1017 Dupont Rd, Suite 1, Louisville, KY 40207 2017-05-17
1285095539 Emily Schwartz Crouch Marriage & Family Therapist 4010 Dupont Circle, Suite 582, Louisville, KY 40207 2016-03-15
1306201280 A A and Associates Approved Alcohol/drug Program Counselor 4006 Dutchmans Lane, Louisville, KY 40207 2015-12-21
1629433693 Jewish Hospital and St. Mary's Healthcare, Inc. General Acute Care Hospital 3290 Dutchmans Lane, Louisville, KY 40207 2015-12-17
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578716361 Kentuckiana Perinatology Psc Nurse Practitioner 210 E Gray St Ste 602, Louisville, KY 40202-3902 2008-10-24
1750474409 Linda M. Ohlmann Nurse Practitioner 3900 Kresge Way #30, Louisville, KY 40207 2006-10-02
1669772109 Cynthia W Canter Nurse Practitioner 4121 Dutchmans Ln, Louisville, KY 40207-4707 2010-11-01
1669678546 Heather Harmon Shannon Nurse Practitioner 80 Health Park Dr Ste 100, Louisville, CO 80027-4644 2007-06-26
1376689893 Glenda Marie Adams Nurse Practitioner 550 S Jackson St, Louisville, KY 40202-1622 2007-01-30
1285720045 Annette Davis Nurse Practitioner 3900 Kresge Way, #30, Louisville, KY 40207 2006-10-05
1851307383 Amy Bedingfield Nurse Practitioner 1067 Peachtree St, Louisville, GA 30434-1558 2006-08-01
1427009711 Sibyl C Cagata Nurse Practitioner 3991 Dutchmans Ln, Suite 405, Louisville, KY 40207-4700 2006-05-12
1427033950 Debra Minary Nurse Practitioner 80 Health Park Dr, Suite 100, Louisville, CO 80027-9584 2005-12-07
1376527010 Jane H Chamberlain Nurse Practitioner 2215 Portland Ave, Louisville, KY 40212-1033 2005-12-06
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Competitor

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City LOUISVILLE
Zip Code 40207

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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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