MS. JESSICA WREN DEIS (NPI# 1932669306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932669306 |
| Entity Type | Individual |
| Full Name | MS. JESSICA WREN DEIS |
| Other Name | MS. JESSICA MCGRATH |
| Credential | CNM |
| Practice Address |
2237 Hikes Ln Louisville KY 40218-2203 |
| Mailing Address |
3015 Wilson Ave Louisville KY 40211-1969 |
| Practice Telephone | 5024798930 |
| Mailing Telephone | 5027744401 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
3014953 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | KY | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 367A00000X | Advanced Practice Midwife | R241288 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 119591300 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3015 Wilson Ave, Louisville, KY 402111969 | 5027744401 |
| Street Address |
2237 HIKES LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40218-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780698506 | Park Duvalle Community Health Center, Inc | Clinic/Center | 2237 Hikes Ln, Louisville, KY 40218-2203 | 2006-07-28 |
| 1770988800 | Krista Gail Roach | Nurse Practitioner | 2237 Hikes Ln, Louisville, KY 40218-2203 | 2014-10-31 |
| 1316274814 | Beverly R Williams Coleman | Nurse Practitioner | 2237 Hikes Ln, Louisville, KY 40218-2203 | 2009-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
| 1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
| 1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
| 1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
| 1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
| 1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| Find all providers in zip 40218 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477177533 | Obstetrix Medical Group of Colorado, P.C. | Nurse Practitioner | 90 Health Park Dr Ste 390, Louisville, CO 80027-9742 | 2020-06-04 |
| 1063913986 | Tara Lynn Denton | Nurse Practitioner | 1425 W Broadway, Louisville, KY 40203-2059 | 2018-02-26 |
| 1093107781 | Lecresha Sewell | Nurse Practitioner | 4123 Dutchmans Ln Ste 250, Louisville, KY 40207-4707 | 2015-03-04 |
| 1679824882 | Cheryl Yvette Wofford | Nurse Practitioner | 3307 Breckenridge Ln, Louisville, KY 40220-3213 | 2012-09-27 |
| 1215182951 | Womens Center for Gynecology and Bladder Disorders | Nurse Practitioner | 5512 Bardstown Rd, Louisville, KY 40291-1910 | 2008-11-21 |
| 1063488690 | Polly Kaelin Mackey | Nurse Practitioner | 4100 Taylor Blvd, Louisville, KY 40215-2342 | 2006-02-24 |
| 1568442291 | Marsha Elaine Fields | Nurse Practitioner | 3015 Wilson Ave., Louisville, KY 40211-1969 | 2006-01-19 |
| 1275534091 | Lisa G Glass | Nurse Practitioner | 3015 Wilson Ave, Louisville, KY 40211-1969 | 2005-08-02 |
| 1710981667 | Janice N Eklund | Nurse Practitioner | 8113 Bardstown Rd, Louisville, KY 40291-3441 | 2005-06-09 |
| 1710412077 | Jordan Hatchett | Nurse Practitioner | 315 E Broadway, 4th Floor, Louisville, KY 40202-3700 | 2017-04-25 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40218 |
Please comment or provide details below to improve the information on MS. JESSICA WREN DEIS.
| 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.