Individual
MEREDITH J ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
225 MEDICAL CENTER DR STE 304, PADUCAH, KY 42003-7915
(270) 538-5596
Mailing address
225 MEDICAL CENTER DR STE 304, PADUCAH, KY 42003-7915
(270) 538-5596
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3005182
KY
363L00000X
Nurse Practitioner
5182P
KY
363LF0000X
Family Nurse Practitioner
Primary
3005182
KY
363LP0200X
Pediatric Nurse Practitioner
5182P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100062510
—
KY
01
—
K245300
MEDICARE PTAN
KY
Enumeration date
03/21/2008
Last updated
09/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us