Active NPI
Amy M Keown
- Registered Nurse
- Louisville, KY
National Provider Identifier
1013584754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1096816
- Practice address
- 2200 Stony Brook Dr
Louisville, KY 40220-4014 - Phone
- (502) 491-4692
- Fax
- (502) 491-4693
- NPI assigned
- Jun 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1096816 | KY | Primary |
Addresses
Primary practice location
2200 Stony Brook Dr
Louisville, KY 40220-4014
Mailing address
1051 Normandy Rd
Taylorsville, KY 40071-9774
Phone (502) 491-4692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1096816 | KY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1013584754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 NORMANDY RD",
"city": "TAYLORSVILLE",
"state": "KY",
"postal_code": "400719774",
"telephone_number": "502-491-4692",
"fax_number": "502-491-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 STONY BROOK DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402204014",
"telephone_number": "502-491-4692",
"fax_number": "502-491-4693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEOWN",
"first_name": "AMY",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "KY",
"license": "1096816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
- Kentucky Recovery Limited Liability Company
- Kentucky Recovery Limited Liability Company
- Kentucky School for the Blind
- Kentucky Vascular Specialists PLLC
- Michael Bradley Keough, MD PHD
- Lindsey Danielle Keown, O.D.
- Carolyn Hannah Kephart
- Kristin Kephart, LPCC
- Kephri Counseling Services
- Kristen Kepley, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.