Amelia Rose Nordmann Wantland, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

49821 Issued in KY

Practice address

1603 Stevens Ave
Louisville, KY 40205-1087

Phone

(502) 451-5955

Fax

(502) 451-5925

NPI assigned

Apr 6, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Amelia Rose Nordmann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770901712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950248",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950248",
            "telephone_number": "866-273-5392",
            "fax_number": "502-489-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 STEVENS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051087",
            "telephone_number": "502-451-5955",
            "fax_number": "502-451-5925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1941 Bishop Lane",
            "address_2": "Suite 900",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40218",
            "country_code": "US",
            "telephone_number": "502-588-2500",
            "fax_number": "502-588-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANTLAND",
        "first_name": "AMELIA",
        "middle_name": "ROSE NORDMANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "49821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100361700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "NORDMANN",
            "middle_name": "ROSE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wesley Wang, MD, PHD
• Xiaoli Wang, M.D.
• Zeng Yu Wang, M.D.
• Ziqi Wang, MD
• Addie Wanner
• Sandora Wantland, RN, CDE
• Warby Parker Inc.
• Alisha Renee Ward, LPCC
• Amber Nicole Ward, PA-C
• Anquinette Willahelmenia Ward

• Family Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.