Organization Active NPI

Vaaca of Kentucky PSC

  • Allergy & Immunology Physician
  • Louisville, KY
National Provider Identifier
1114000478
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
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

Updated by the provider on Aug 2, 2016

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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
65928889MedicaidKY

Other names 1

  • Allergy Care Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.