ADVANCED DIABETES MANAGEMENT PLLC (NPI# 1689022972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689022972 |
| Entity Type | Organization |
| Organization Name | ADVANCED DIABETES MANAGEMENT PLLC |
| Practice Address |
4119 Browns Ln Bldg 2 Louisville KY 40220-1500 |
| Practice Telephone | 8002940807 |
| Practice Fax Number | 5026819883 |
| Mailing Telephone | 8002940807 |
| Mailing Fax Number | 5026819883 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2017-03-06 |
| Authorized Official Name | MICHAEL AINES (OWNER) |
| Authorized Official Telephone | 5025929254 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100442930 | 05 |
| Street Address |
4119 BROWNS LN BLDG 2 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40220-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597781 | Robert Bond Nolan Jr. | Legal Medicine | 4119 Browns Ln, Ste 1, Louisville, KY 40220-1500 | 2005-06-09 |
| 1154863272 | Brandy Hammond-farmer | Physician Assistant | 4119 Browns Ln, Ste 1, Louisville, KY 40220-1500 | 2016-11-07 |
| 1609123074 | Huihui Wu | Acupuncturist | 4119 Browns Ln, Suite 3, Louisville, KY 40220-1500 | 2012-08-04 |
| 1134356124 | Lykins Surgical Assisting, Inc. | Specialist/Technologist, Other | 4119 Browns Ln, Ste 2b, Louisville, KY 40220-1500 | 2009-06-17 |
| 1316155740 | Sure Care Surgical First Assistance, LLC | Specialist/Technologist, Other | 4119 Browns Ln, Ste 2b, Louisville, KY 40220-1500 | 2007-05-18 |
| 1760517742 | D'ann B Markert | Physician Assistant | 4119 Browns Ln, Ste. 1, Louisville, KY 40220-1500 | 2007-02-22 |
| 1023153350 | Robert B. Nolan, Jr., Md, Pllc | Physician Assistant | 4119 Browns Ln, Ste. 1, Louisville, KY 40220-1500 | 2007-02-21 |
| 1326111493 | Vicare | Case Management | 4119 Browns Ln, Building 3, Louisville, KY 40220-1500 | 2006-11-16 |
| 1982689949 | Brian Przystawski | Podiatrist | 4119 Browns Ln, Bldg 2, Louisville, KY 40220-1500 | 2005-12-13 |
| 1578563920 | Dawn Marie Michels | Podiatrist | 4119 Browns Ln, Bld #2, Louisville, KY 40220-1500 | 2005-07-28 |
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891645 | K Tierney Lanham LLC | Nurse Practitioner | 6431 Regency Ln, Louisville, KY 40207-2309 | 2020-11-06 |
| 1578192274 | Brian W Oliver | Nurse Practitioner | 309 Iola Rd, Louisville, KY 40207-2917 | 2020-04-04 |
| 1942835624 | Rebecca Spicer | Nurse Practitioner | 9805 Scarborough Ave, Louisville, KY 40272-2436 | 2020-03-03 |
| 1487288262 | Centerpointe Health LLC | Nurse Practitioner | 10100 Linn Station Rd, Louisville, KY 40223-3861 | 2020-03-02 |
| 1750914438 | Robin Elizabeth Masters | Nurse Practitioner | 2011 Lake Point Way Ste 202, Louisville, KY 40223-4229 | 2020-02-20 |
| 1629608286 | Meagan Molestina | Nurse Practitioner | 411 E Chestnut St # 4b6b, Louisville, KY 40202-1713 | 2020-01-23 |
| 1255971131 | Casey Lynn Potter | Nurse Practitioner | 411 Eaat Chestnut Street, Level 5a, Louisville, KY 40202-1713 | 2020-01-08 |
| 1487292033 | Norton Children's Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710, Louisville, KY 40218-1921 | 2019-12-13 |
| 1548803273 | Jessica L Withrow | Nurse Practitioner | 1900 Bluegrass Ave Ste 103, Louisville, KY 40215-1144 | 2019-10-25 |
| 1629627773 | Latonya Renee Banks | Nurse Practitioner | 2210 Buechel Avenue, Suite 105, Louisville, KY 40218-2619 | 2019-09-10 |
| 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.