Provider Demographics
NPI:1942214713
Name:SCHAEFER, BARBARA S (WHNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:S
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12121 SHELBYVILLE RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40243-1094
Mailing Address - Country:US
Mailing Address - Phone:502-244-6500
Mailing Address - Fax:502-244-6588
Practice Address - Street 1:12121 SHELBYVILLE RD
Practice Address - Street 2:SUITE 107
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-1094
Practice Address - Country:US
Practice Address - Phone:502-244-6500
Practice Address - Fax:502-244-6588
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1059026163W00000X
KY2457P363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYS54250Medicare UPIN