MITZI L CARTER (NPI# 1821001421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821001421 |
Entity Type | Individual |
Full Name | MITZI L CARTER |
Credential | PA-C |
Practice Address |
3810 Springhurst Blvd Ste 200 Louisville KY 40241 |
Mailing Address |
Po Box 950132 Louisville KY 40295-0132 |
Practice Telephone | 5025831749 |
Practice Fax Number | 5023298184 |
Mailing Telephone | 8889808992 |
Enumeration Date | 2006-08-14 |
Last Update Date | 2018-07-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA766 | KY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3810 SPRINGHURST BLVD STE 200 |
City | LOUISVILLE |
State | KY |
Zip Code | 40241 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063418713 | Susan Elrod | Nurse Practitioner | 3810 Springhurst Blvd Ste 200, Louisville, KY 40241 | 2005-06-27 |
1770112120 | Sarah Grace Gawronski | Physician Assistant | 3810 Springhurst Blvd Ste 200, Louisville, KY 40241-6162 | 2020-04-07 |
1861953630 | Katherine Cregor | Nurse Practitioner | 3810 Springhurst Blvd Ste 200, Louisville, KY 40241-6162 | 2019-03-26 |
1184148181 | Melissa Ann Atkinson | Physician Assistant | 3810 Springhurst Blvd Ste 200, Louisville, KY 40241 | 2017-08-01 |
1699122507 | Colton Nielson | Dermatology | 3810 Springhurst Blvd Ste 200, Louisville, KY 40241-6162 | 2016-05-20 |
1376962860 | Ashley D. Brown | Dermatology | 3810 Springhurst Blvd Ste 200, Louisville, KY 40241-6162 | 2014-04-10 |
1558557132 | Melissa S Davis | Physician Assistant | 3810 Springhurst Blvd Ste 200, Louisville, KY 40241 | 2007-09-18 |
1730374794 | Kara Travis Mudd | Physician Assistant | 3810 Springhurst Blvd Ste 200, Louisville, KY 40241 | 2007-09-12 |
1932115821 | Timothy S Brown | Dermatology | 3810 Springhurst Blvd Ste 200, Louisville, KY 40241 | 2006-07-31 |
1013946375 | Jae Yeon Jung | Dermatology | 3810 Springhurst Blvd Ste 200, Louisville, KY 40241 | 2006-06-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
Find all providers in zip 40241 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558982348 | Damian Morriston | Physician Assistant | 7088 Aspen Grove Ct, Louisville, KY 40241-2522 | 2020-05-03 |
1063041457 | Molly Ritter | Physician Assistant | 2310 Woodbourne Ave Apt 13, Louisville, KY 40205-1752 | 2020-04-07 |
1629582739 | Addie C Rosenberger | Physician Assistant | 200 E Chestnut St Bldg Ste 303, Louisville, KY 40202-1831 | 2017-11-28 |
1750749362 | Erin Mary Quinn | Physician Assistant | 90 Health Park Dr Ste 340, Louisville, CO 80027-9586 | 2016-02-10 |
1043465164 | Myron Jeffrey Hardesty | Physician Assistant | 7505 New Lagrange Road, Louisville, KY 40222 | 2008-11-18 |
1992966279 | Sharin Lynn Berger | Physician Assistant | 928 Treece St, Louisville, CO 80027-8511 | 2008-06-19 |
1528112166 | Wendy M Warren | Physician Assistant | 3999 Dutchmans Ln Ste 6f, Louisville, KY 40207-4724 | 2007-01-22 |
1942245253 | Connie Ann Melton | Physician Assistant | 1025 S 2nd St, Louisville, KY 40203-2823 | 2006-06-19 |
1588604896 | Community Ear Nose Throat & Allergy,pllc | Physician Assistant | 4950 Norton Healthcare Blvd., Suite 209, Louisville, KY 40241 | 2006-06-07 |
1760420202 | Andrea Byrd Doak | Physician Assistant | 1067 Peachtree St, Louisville, GA 30434 | 2006-06-04 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40241 |
Please comment or provide details below to improve the information on MITZI L CARTER.
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.