Provider Demographics
NPI:1699085233
Name:CAVE, BARBRA ANN (APRN)
Entity type:Individual
Prefix:MRS
First Name:BARBRA
Middle Name:ANN
Last Name:CAVE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:BARBRA
Other - Middle Name:ANN
Other - Last Name:GOSHKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:956 WILLOW CREEK LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-7000
Mailing Address - Country:US
Mailing Address - Phone:502-648-9904
Mailing Address - Fax:502-681-1371
Practice Address - Street 1:550 S JACKSON ST FL 3
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1622
Practice Address - Country:US
Practice Address - Phone:502-561-5687
Practice Address - Fax:502-681-1371
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3006689363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201010300Medicaid
KY7100146910Medicaid
KYP400035761Medicare PIN