JACLYNE A BUZZELL (NPI# 1740464130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740464130 |
| Entity Type | Individual |
| Full Name | JACLYNE A BUZZELL |
| Credential | NP |
| Practice Address |
2500 W Market St Louisville KY 40212-1541 |
| Mailing Address |
Po Box 950244 Louisville KY 40295-0244 |
| Practice Telephone | 5027788400 |
| Practice Fax Number | 5029968309 |
| Mailing Telephone | 5027748631 |
| Mailing Fax Number | 5027728189 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2018-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
3007767 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APN13152 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE PIN | P00613332 | 01 | |
| KY | 7100245250 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2215 Portland Ave, Louisville, KY 402121033 | 5027748631 | 5027728189 |
| Street Address |
2500 W MARKET ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40212-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376549030 | Vivianne A Griffiths | Nurse Practitioner | 2500 W Market St, Louisville, KY 40212-1541 | 2005-06-27 |
| 1427574862 | Family Health Centers, Inc. | Clinic/Center | 2500 W Market St, Louisville, KY 40212-1541 | 2017-08-17 |
| 1619074713 | Dennis F. Kinlaw Jr. | Emergency Medicine | 2500 W Market St, Louisville, KY 40212-1541 | 2006-09-20 |
| 1912951419 | A. O'tayo Lalude | Family Medicine | 2500 W Market St, Louisville, KY 40212-1541 | 2006-05-19 |
| 1295714863 | Frances E. Weinstock | Family Medicine | 2500 W Market St, Louisville, KY 40212-1541 | 2006-01-12 |
| 1134103559 | Elizabeth A Klein | Registered Nurse | 2500 W Market St, Louisville, KY 40212-1541 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003433111 | Shanita Flanagan | Home Health Aide | 4519 Southwestern Parkway, Louisville, KY 40212 | 2020-07-06 |
| 1184118887 | Denise Goldsmith-kelley | Licensed Practical Nurse | 2611 Northwestern Pkwy, Louisville, KY 40212 | 2018-06-18 |
| 1477605426 | Market St Dental Office Psc | Dentist | 2410 West Market St, Louisville, KY 40212 | 2007-01-18 |
| 1528118601 | Portland Dental Psc | Clinic/Center | 465 North 26th Street, Louisville, KY 40212 | 2007-01-11 |
| 1790393643 | Quality Home Care Services, LLC | In Home Supportive Care | 4519 Southwestern Parkway, Same, Louisville, KY 40212 | 2020-07-16 |
| 1659884872 | New Leaf Clinic | Clinic/Center | 2910 W Jefferson St, Louisville, KY 40212 | 2017-11-09 |
| 1043670391 | Rod Ali Erfani | Dentist | 2215 Portland Ave, Louisville, KY 40212 | 2016-02-29 |
| 1164754008 | Deborah J Moreau | Nurse Practitioner | 234 Amy Ave, Louisville, KY 40212 | 2010-02-03 |
| 1386778710 | Patricia Link Fulkerson | Social Worker | 2215 Portland Ave, Louisville, KY 40212 | 2007-03-15 |
| 1982617387 | Julie R Aull | Physician Assistant | 234 Amy Ave, Louisville, KY 40212 | 2006-08-15 |
| Find all providers in zip 40212 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914040 | The Ortho Np, LLC | Nurse Practitioner | 1904 Meadowgate Ln, Louisville, KY 40223-1122 | 2020-02-15 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1699282988 | Victoria Michelle Jones | Nurse Practitioner | 7004 Austinwood Rd, Louisville, KY 40214-5930 | 2018-01-08 |
| 1295100345 | Ashley Elizabeth Summers | Nurse Practitioner | 701 Executive Park, Louisville, KY 40207 | 2015-12-01 |
| 1740608082 | Margaret Hamilton | Nurse Practitioner | 4938 Brownsboro Rd Ste 206, Louisville, KY 40222-6385 | 2014-04-03 |
| 1033535828 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 16605 Chestnut Glen Pl, Louisville, KY 40245 | 2014-03-17 |
| 1356778237 | Rachel Keith-weiss | Nurse Practitioner | 580 S Preston St, Baxter II Rm 204d, Louisville, KY 40202-1756 | 2013-10-09 |
| 1598010852 | Hollis Veronica Edwards | Nurse Practitioner | 550 S Jackson St Fl 1, Louisville, KY 40202 | 2012-07-23 |
| 1578865267 | Sarah Kressy | Nurse Practitioner | 90 Health Park Dr Ste 320, Louisville, CO 80027-9742 | 2010-12-01 |
| 1780909259 | Deborah Diane Knight-williams | Nurse Practitioner | 405 Cambridge Station Rd, Wmlnc, Louisville, KY 40223-3362 | 2010-03-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40212 |
Please comment or provide details below to improve the information on JACLYNE A BUZZELL.
| 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.