Individual
MRS. KLARISA NICOLE STOUDEMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
234 E GRAY ST STE 154, LOUISVILLE, KY 40202-1903
(502) 629-2500
(502) 629-2055
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006498
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001092683
ANTHEM
KY
01
—
229581
SIHO
KY
05
—
300007238
—
IN
01
—
50132455
PASSPORT
KY
05
—
7100172130
—
KY
01
—
K008131
MEDICARE
KY
Enumeration date
11/30/2009
Last updated
04/17/2025
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