Active NPI
Aiesha N Cole, APRN
- Family Nurse Practitioner
- Louisville, KY
National Provider Identifier
1063979458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 57852
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201030000452 | KY | Practitioner - Nurse Practitioner | 1456761535 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1121062 | KY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Ky Holding, LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.