Goodman, Stephanie L

Goodman, Stephanie L is an individual health care provider with primary practice located at 3430 Newburg Rd Ste 150 , Louisville KY 40218-2497. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Goodman, Stephanie L can be contacted via phone (502) 459-9127.

Contact Information

Primary practice address
3430 Newburg Rd Ste 150 Louisville KY 40218-2497
Phone: (502) 459-9127
Fax: (502) 459-2156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3007142 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3007142 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 3007142 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007142 Kentucky

Profile Details

NPI number 1588946107
LBN Legal business name Goodman, Stephanie L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2011
Last updated Mar 31st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588946107 NPPES
Kentucky MEDICAID 7100204820
Kentucky MEDICAID 201378710

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