Basic Information
Provider Information
NPI: 1093189920
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CRESS
FirstName: ALISON
MiddleName: ELIZABETH
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 140 WHITTINGTON PKWY 100
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402224930
CountryCode: US
TelephoneNumber: 5023279100
FaxNumber: 8556328329
Practice Location
Address1: 3333 BURNET AVE, ML 2001
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452293026
CountryCode: US
TelephoneNumber: 5136364408
FaxNumber: 5136367337
Other Information
ProviderEnumerationDate: 11/16/2015
LastUpdateDate: 01/24/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAPRN.CNP.18075OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LF0000X3009901KYN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home