MR. DONALD RAY AVERY JR. (NPI# 1669974119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669974119 |
Entity Type | Individual |
Full Name | MR. DONALD RAY AVERY JR. |
Credential | NURSE PRACTITIONER |
Practice Address |
801 Barret Ave Ste 314 Louisville KY 40204-1734 |
Mailing Address |
611 Park Ave, Louisville Louisville KY 40208 |
Practice Telephone | 5025852924 |
Mailing Telephone | 5023388884 |
Enumeration Date | 2018-03-01 |
Last Update Date | 2018-04-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
3012133 | KY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
801 BARRET AVE STE 314 |
City | LOUISVILLE |
State | KY |
Zip Code | 40204-1734 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
1821317975 | Abby Fowler | Social Worker | 1357 Bardstown Rd, Louisville, KY 40204 | 2010-05-27 |
1033317441 | Katrina Laflesh | Counselor | 914 East Broadway, 3rd Floor, Louisville, KY 40204 | 2007-07-06 |
1770790891 | Richard Brooks | Counselor | 914 East Broadway 1st, Louisville, KY 40204 | 2007-05-17 |
1447302922 | Walden Chiropractic Psc | Chiropractor | 1072 Bardstown Road, Louisville, KY 40204 | 2007-01-17 |
1053485938 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1023 E Broadway, Louisville, KY 40204 | 2006-11-20 |
1710072137 | Sandra L. Payne | Dentist | John P Rakutt Dmd Psc, 801 Barret Avenue #107, Louisville, KY 40204 | 2006-10-03 |
1013017482 | Bonnie L Varisco | Social Worker | 914 E. Broadway, 2nd, Louisville, KY 40204 | 2006-09-25 |
1902854334 | Kevin B Spicer | Pediatrics | 834 E Broadway, Louisville, KY 40204 | 2006-05-05 |
1992777213 | Donna Maclain Stewart | Pathology | Office of The Chief Medical Examiner;urban Government C, 810 Barret Ave, Louisville, KY 40204 | 2006-02-02 |
Find all providers in zip 40204 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891393864 | Lindsay Ann Traeger | Nurse Practitioner | 633 E Main St Unit 553, Louisville, KY 40202-4739 | 2020-10-13 |
1730417593 | Tam Healthcare Options, Pllc. | Nurse Practitioner | 1904 Crums Ln, Louisville, KY 40216-4228 | 2009-12-05 |
1659991313 | Jason Pratt | Nurse Practitioner | 3975 7th Street Rd, Louisville, KY 40216-4103 | 2020-04-23 |
1053977041 | Enm Wellness & More | Nurse Practitioner | 801 W Broadway Ste 4, Louisville, KY 40202-2236 | 2019-05-15 |
1497218507 | Interlocking Hearts Healthcare - Primary and Express Care | Nurse Practitioner | 801 W Broadway Ste 4, Louisville, KY 40202-2236 | 2019-04-08 |
1679012256 | Katherine Voss | Nurse Practitioner | 800 Zorn Ave, Louisville, KY 40206 | 2017-02-16 |
1598211146 | Alternative Health Solutions LLC | Nurse Practitioner | 7098 Distribution Dr, Louisville, KY 40258-2879 | 2016-09-01 |
1124471883 | Kasey Ann Metts | Nurse Practitioner | 400 S 6th St, Louisville, KY 40202-2306 | 2016-07-18 |
1205284726 | Serena K Nevitt | Nurse Practitioner | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2016-05-25 |
1548632722 | Jessica Goettl | Nurse Practitioner | 3999 Dutchmans Ln Ste 2f, Louisville, KY 40207-4748 | 2015-10-27 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40204 |
Please comment or provide details below to improve the information on MR. DONALD RAY AVERY JR..
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.