Look up the most recent NPI and PECOS records

Kirsten Taylor Trudeau

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

8442 Dixie Hwy, Louisville, KY 40258-1140

PECOS Enrollment

Based on the most recent information from CMS, provider Kirsten Taylor Trudeau does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1912576505
Provider Type
Individual
Full Name
Trudeau, Kirsten Taylor
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
6/18/2021
Last Updated
6/18/2021

Contact Information

Practice Location

8442 Dixie Hwy, Louisville, KY 40258-1140

(502) 638-4280

(502) 638-4281

Mailing Location

8442 Dixie Hwy, Louisville, KY 40258-1140

(502) 638-4280

(502) 638-4281

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 3015809 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 3015809	Description Other	Issuer STATE LICENSE Kentucky

Kirsten Taylor Trudeau

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Swift, Christopher Michael

Brackett, Aletha Nicole

Cook, Krystal

Elm, Katelin H

Clark, Shana Marie

Piotrowski, Samantha Leigh

Albright, Breanna

Suarez Guerra, Gretchell Delacaridad

White, Celeste Magen

Betz, Kelly