MRS. MICHELLE RENAE STETTENBENZ APRN NPI 1346488012

NPI Information

NPI: 1346488012
Provider Name: MRS. MICHELLE RENAE STETTENBENZ, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1 AUDUBON PLAZA DR
LOUISVILLE, KY
ZIP 40217
Phone: (502) 634-6767
Get Directions

MRS. Michelle Renae Stettenbenz, APRN is a family nurse practitioner in Louisville, KY with 16 years of experience. MRS. Michelle Renae Stettenbenz, APRN NPI is 1346488012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 AUDUBON PLAZA DR
LOUISVILLE, KY
ZIP 40217-318
Phone: (502) 634-6767
Fax: (502) 634-6775

The NPI 1346488012 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/3/2009 and was last updated on 8/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		3005912	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	3005912	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100077520	MEDICAID	KENTUCKY
2	K012640	MEDICARE PIN	KENTUCKY
3	00334002	MEDICARE PIN	KENTUCKY
4	3005912	OTHER	KENTUCKY	LICENSE
5	50035532	OTHER	KENTUCKY	PASSPORT
6	200985350	MEDICAID	INDIANA
7	000000736286	OTHER	KENTUCKY	ANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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