MARY ROSE J NIEVES (NPI# 1679654263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679654263 |
| Entity Type | Individual |
| Full Name | MARY ROSE J NIEVES |
| Practice Address |
3717 Taylorsville Rd Louisville KY 40220-1333 |
| Mailing Address |
101 W Muhammad Ali Blvd Louisville KY 40202-1423 |
| Practice Telephone | 5024590205 |
| Practice Fax Number | 5025898771 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
3717 TAYLORSVILLE RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40220-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861426991 | Elizabeth Caudill | Psychiatry & Neurology | 3717 Taylorsville Rd, Louisville, KY 40220-1333 | 2006-07-11 |
| 1720640063 | Elizabeth H Bischoff | Behavioral Analyst | 3717 Taylorsville Rd, Louisville, KY 40220-1333 | 2019-07-08 |
| 1740670827 | Kristen Kozenski | Case Manager/Care Coordinator | 3717 Taylorsville Rd, Louisville, KY 40220-1333 | 2015-01-28 |
| 1558750505 | Shamika Rivers | Social Worker | 3717 Taylorsville Rd, Louisville, KY 40220-1333 | 2015-01-14 |
| 1851789754 | Shelby Phipps | Case Manager/Care Coordinator | 3717 Taylorsville Rd, Suite 100, Louisville, KY 40220-1333 | 2014-12-30 |
| 1598160442 | Hollee Johnson | Case Manager/Care Coordinator | 3717 Taylorsville Rd, Louisville, KY 40220-1333 | 2014-11-04 |
| 1568866457 | Diana Maldonado | Case Manager/Care Coordinator | 3717 Taylorsville Rd, Louisville, KY 40220-1333 | 2014-10-21 |
| 1508260415 | Kiersten Steitz | Case Manager/Care Coordinator | 3717 Taylorsville Rd, Louisville, KY 40220-1333 | 2014-10-21 |
| 1114321759 | Kimberly Magoon | Case Manager/Care Coordinator | 3717 Taylorsville Rd, Louisville, KY 40220-1333 | 2014-10-10 |
| 1861895484 | Caren Miller | Case Manager/Care Coordinator | 3717 Taylorsville Rd, Louisville, KY 40220-1333 | 2014-09-28 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674797 | Sarah Cb Tucker | Specialist | 1169 Eastern Pkwy, Suite 2313, Louisville, KY 40217-1417 | 2020-03-18 |
| 1104457795 | David B. Beltz | Specialist | 6911 Ravenna Ave Ne, Louisville, OH 44641-4464 | 2020-01-31 |
| 1306480967 | Shawnas Monique Moore | Specialist | 3007 Dr William G Weathers Dr, Louisville, KY 40211-1891 | 2019-11-06 |
| 1083124366 | Kentuckiana Pain Specialist Ambulatory Surgery Center | Specialist | 3710 Chamberlain Ln Ste B, Louisville, KY 40241-2002 | 2017-10-02 |
| 1902345994 | Hps Kentucky LLC | Specialist | 444 Sourth First Street, Louisville, KY 40202 | 2017-02-23 |
| 1134578032 | Fernando Pajo Jr. | Specialist | 5007 Old Federal Rd, Louisville, KY 40207-1200 | 2016-06-10 |
| 1144616749 | James David Dorneman Jr. | Specialist | 4346 Bowling Blvd, Louisville, KY 40207-5405 | 2015-04-09 |
| 1609269414 | Preston Medical Center | Specialist | 927 S 3rd St, Louisville, KY 40203-2215 | 2015-03-18 |
| 1821437468 | Cordelia Marie Devine | Specialist | 1100 Envoy Cir, Suite 1105, Louisville, KY 40299-1960 | 2013-06-17 |
| 1154765550 | Therapy Associates of Louisville, LLC | Specialist | 4810 Poplar Place Dr Ste 100, Louisville, KY 40213-2383 | 2013-04-29 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40220 |
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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.