Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Stephanie Tichenor, ARNP

Individual provider General Practice Registered Nurse · NPI 1013111939

Mrs. Stephanie Tichenor, ARNP is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2007, 19 years ago. Practices with PT Pros, Inc, a 259-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
19
Licensed in
KY
In the registry since
2007
Specialties on file
4
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

210 E Gray St Ste 1105
Louisville, KY 40202-3907
Phone: (502) 583-1697
Fax: (502) 583-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3005412 (KY)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 1096981 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 5412P (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3005412 (KY)

Record details

NPI number1013111939
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedJune 13, 2007
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 22, 2021
Mailing addressPo Box 776351, Chicago, IL 60677-6351

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Pt Pros, Inc — 259 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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