Active NPI
Vilma C Fabre, M.D.
- Dermatopathology Physician
- Louisville, KY
National Provider Identifier
1023094646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- 26062
- Practice address
- 2211 Greene Way
Ste 100
Louisville, KY 40220-4076 - Phone
- (502) 495-1162
- Fax
- (502) 495-0156
- NPI assigned
- Dec 15, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 26062 | KY | Primary |
Addresses
Primary practice location
2211 Greene Way
Ste 100
Louisville, KY 40220-4076
Mailing address
2211 Greene Way Ste 100
Louisville, KY 40220-4077
Phone (502) 495-1162
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64260623 | Medicaid | KY | |
| 200133100 | Medicaid | IN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin Group PLLC | Dermatopathology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1023094646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 GREENE WAY STE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402204077",
"telephone_number": "502-495-1162",
"fax_number": "502-495-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 GREENE WAY",
"address_2": "STE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402204076",
"telephone_number": "502-495-1162",
"fax_number": "502-495-0156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABRE",
"first_name": "VILMA",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2020-08-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "KY",
"license": "26062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64260623",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200133100",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.