Nadezda Johnson, | |
170 Dr Arla Way Ste 101, Louisville, KY 40229-5427 | |
(502) 955-8480 | |
(502) 955-4424 |
Full Name | Nadezda Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 170 Dr Arla Way Ste 101, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346743515 | NPI | - | NPPES |
PENDING | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F02181017 (Kentucky) | Primary |
Entity Name | Bullitt County Family Practitioners Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558459917 PECOS PAC ID: 2466422654 Enrollment ID: O20040727000380 |
Mailing Address | Practice Location Address |
---|---|
Nadezda Johnson, 170 Dr Arla Way Ste 101, Louisville, KY 40229-5427 Ph: (502) 955-8480 | Nadezda Johnson, 170 Dr Arla Way Ste 101, Louisville, KY 40229-5427 Ph: (502) 955-8480 |
Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909 | |
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461 | |
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843 | |
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6617 Fax: 502-574-8666 | |
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117 | |
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529 | |
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500 |