Organization Active NPI

Institute for Integrative Medicine

  • Health Service Clinic/Center
  • Louisville, KY
National Provider Identifier
1104944784
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
INSTITUTE FOR INTEGRATIVE MEDICINE
Practice address
205 Townepark Cir Ste 100
Louisville, KY 40243-2318
Phone
(502) 253-4554
Fax
(877) 273-4414
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Kimberley Ann Evans, ARNPNPI 1821096124
Title
Clinical Nurse Specialist
Phone
(502) 797-1904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

205 Townepark Cir Ste 100
Louisville, KY 40243-2318

Mailing address

205 Townepark Cir Ste 100
Louisville, KY 40243-2318
Phone (502) 253-4554

National Provider Directory

National Provider Directory

Locations

205 Townepark Cir
Ste 100
Louisville, KY 40243
Phone (502) 253-4554

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1104944784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 TOWNEPARK CIR STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432318",
            "telephone_number": "502-253-4554",
            "fax_number": "877-273-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 TOWNEPARK CIR STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432318",
            "telephone_number": "502-253-4554",
            "fax_number": "877-273-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL NURSE SPECIALIST",
        "authorized_official_telephone_number": "502-797-1904",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.