Individual provider Active NPI

Aiesha N Cole, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1063979458
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
57852 Issued in KY
Practice address
234 Amy Ave
Louisville, KY 40212-2522
Phone
(502) 778-0001
Fax
(502) 776-1133
NPI assigned
Feb 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1121062 KY
Family Nurse Practitioner 363LF0000X 57852 KY Primary

Addresses

Primary practice location

234 Amy Ave
Louisville, KY 40212-2522

Mailing address

234 Amy Ave
Louisville, KY 40212-2522
Phone (502) 778-0001

Other names 1

  • Aiesha N White Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201030000452 KY Practitioner - Nurse Practitioner 1456761535 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1121062KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Ky Holding, LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

3939 7th Street Rd
Louisville, KY 40216
Phone (502) 775-1211

2406 W Broadway
Louisville, KY 40211
Phone (502) 775-1211

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": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1063979458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 AMY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402122522",
            "telephone_number": "502-778-0001",
            "fax_number": "502-776-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 AMY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402122522",
            "telephone_number": "502-778-0001",
            "fax_number": "502-776-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "AIESHA",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1121062",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "57852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIESHA",
            "last_name": "WHITE",
            "middle_name": "N",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.