| Ethel Darline Luster Caldwell, ARNP | |
|
870 Taylorsville Road, Taylorsville, KY 40071 | |
| (502) 477-8888 | |
| (502) 477-2300 |
| Full Name | Ethel Darline Luster Caldwell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 870 Taylorsville Road, Taylorsville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154375020 | NPI | - | NPPES |
| 4768P | Other | KY | ARNP LIC# |
| 000000524808 | Other | KY | ANTHEM |
| 71000363800 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3004768 (Kentucky) | Primary |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethel Darline Luster Caldwell, ARNP Po Box 950248, Louisville, KY 40295-0248 Ph: (502) 489-5730 | Ethel Darline Luster Caldwell, ARNP 870 Taylorsville Road, Taylorsville, KY 40071 Ph: (502) 477-8888 |
Melody A Presley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 83 W Main St, Taylorsville, KY 40071 Phone: 502-477-1955 Fax: 502-477-5524 | |
Sharon S Jamison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Taylorsville Rd, Taylorsville, KY 40071 Phone: 502-584-2992 | |
Lisa Michelle Keown, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 851 Mcintosh Dr, Taylorsville, KY 40071 Phone: 502-477-2911 | |
Kasey Fawbush, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 847 Taylorsville Rd, Taylorsville, KY 40071 Phone: 502-588-8705 | |
Rachel Weedman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Taylorsville Rd, Taylorsville, KY 40071 Phone: 502-477-8838 Fax: 502-477-2273 | |
Laura Durham, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Taylorsville Rd, Taylorsville, KY 40071 Phone: 502-477-2248 |