Active NPI
Vaaca of Kentucky PSC
- Allergy & Immunology Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- VAACA OF KENTUCKY PSC
- Practice address
- 1261 Goss Ave
Louisville, KY 40217-1239 - Phone
- (502) 635-6937
- Fax
- (502) 634-3926
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Becky Lee Noah, CMM
- Title
- Practice Administrator
- Phone
- (502) 635-6937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary |
Addresses
Primary practice location
1261 Goss Ave
Louisville, KY 40217-1239
Mailing address
1261 Goss Ave
Louisville, KY 40217-1239
Phone (502) 635-6937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65928889 | Medicaid | KY |
Other names 1
- Allergy Care
National Provider Directory
National Provider DirectoryLocations
103 Diagnostic Dr
Ste C
Frankfort, KY 40601
Phone (502) 254-2300
1 Physicians Park
Frankfort, KY 40601
Phone (502) 223-7629
200 Bevins Ln
Ste B
Georgetown, KY 40324
1156 Lexington Rd
Ste B
Georgetown, KY 40324
Phone (502) 863-9703
1023 Sanibel Way
Ste G
Lagrange, KY 40031
5129 Dixie Hwy
Ste 209
Louisville, KY 40216
Phone (502) 447-3265
1261 Goss Ave
Louisville, KY 40217
6009 Brownsboro Park Blvd
Ste E
Louisville, KY 40207
9422 Brownsboro Rd
Louisville, KY 40241
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Louisville, KY
- NPI 1720084700
-
- Allergy & Immunology Physician
- Louisville, KY
- NPI 1326256827
-
- Nurse Practitioner
- Louisville, KY
- NPI 1851071856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470096000000",
"number": "1114000478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1261 GOSS AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171239",
"telephone_number": "502-635-6937",
"fax_number": "502-634-3926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1261 GOSS AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171239",
"telephone_number": "502-635-6937",
"fax_number": "502-634-3926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAACA OF KENTUCKY PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2016-08-02",
"status": "A",
"authorized_official_last_name": "NOAH",
"authorized_official_first_name": "BECKY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "502-635-6937",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CMM"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65928889",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Allergy Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.