MICHELLE THEIS (NPI# 1942518998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942518998 |
| Entity Type | Individual |
| Full Name | MICHELLE THEIS |
| Credential | APRN |
| Practice Address |
11600 Main St Louisville KY 40243-1318 |
| Mailing Address |
2700 Stanley Gault Pkwy Ste 129 Louisville KY 40223-5176 |
| Practice Telephone | 5022454168 |
| Practice Fax Number | 5022444054 |
| Mailing Telephone | 5022534900 |
| Mailing Fax Number | 5024895751 |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
3006566 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100153950 | 05 | |
| KY | PASSPORT | 50034884 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205195831 | Michelle Theis | Occupational Therapist | 1200 Providence Rd, Wayne, NE 68787 | 2012-05-16 |
| Street Address |
11600 MAIN ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40243-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186545 | Keith E Krawiec | Internal Medicine | 11600 Main St, Louisville, KY 40243-1318 | 2005-07-07 |
| 1801866025 | Charles Edward Gaba | Internal Medicine | 11600 Main St, Louisville, KY 40243-1318 | 2006-01-23 |
| 1063419901 | Walter O Bruning | Internal Medicine | 11600 Main St, Louisville, KY 40243-1318 | 2005-07-07 |
| 1982602694 | Raymond H Johnson | Family Medicine | 11600 Main St, Louisville, KY 40243-1318 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
| 1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1417501974 | Joshua Bynum | Physical Therapist | 12935 Shelbyville Road Ste 106, Louisville, KY 40243 | 2019-08-01 |
| 1376013342 | Carmen Sue Frederick | Psychologist | 731 Speckman Road, Louisville, KY 40243 | 2018-12-03 |
| 1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
| 1659811636 | Jean Steltenpohl | Dietitian, Registered | 518 Cheskirk Pl, Louisville, KY 40243 | 2017-02-24 |
| 1548555287 | Jonathan D Senters | Pharmacist | 12975 Shelbyville Road, T-2728, Middletown, KY 40243 | 2011-06-10 |
| 1023339835 | Ashley Rose Havens | Speech-Language Pathologist | 11510 Main Street, Louisville, KY 40243 | 2010-06-15 |
| 1801110424 | Shawna L. Kauffman | Family Medicine | 12955 Shelbyville Rd Ste 2, Louisville, KY 40243 | 2010-03-25 |
| Find all providers in zip 40243 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326695255 | Norton Childrens Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-08-26 |
| 1407402209 | Elleanor Gray | Nurse Practitioner | 411 E Chestnut St Ste 645, Louisville, KY 40202-1713 | 2019-08-16 |
| 1245287440 | Tammy A Pasko | Nurse Practitioner | 234 E. Gray St., Ste. 270, Louisville, KY 40202-1903 | 2006-05-31 |
| 1013988351 | Kellie Woodruff | Nurse Practitioner | 411 E Chestnut St # Street7, Louisville, KY 40202-1713 | 2006-01-26 |
| 1639172554 | Sharon C Metcalf | Nurse Practitioner | 555 S Floyd St, Louisville, KY 40202-3801 | 2005-05-24 |
| 1619582616 | Erica Ashley Persichetti | Nurse Practitioner | 90 Health Park Dr Ste 160, Louisville, CO 80027-9742 | 2020-09-15 |
| 1295361723 | Karen A Powers | Nurse Practitioner | 411 E Chestnut St # Street7, Louisville, KY 40202-1713 | 2020-03-16 |
| 1346872074 | Elizabeth Cotton | Nurse Practitioner | 231 E Chestnut St, Louisville, KY 40202-1821 | 2020-02-11 |
| 1336771161 | Norton Children's Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2020-02-10 |
| 1689206906 | Lacey G Sanford | Nurse Practitioner | 417 Benjamin Ln Ste 101, Louisville, KY 40222-4939 | 2020-02-05 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40243 |
Please comment or provide details below to improve the information on MICHELLE THEIS.
| 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.