Janice F Keith, FNP
Individual provider Active NPI Family Nurse Practitioner · Louisville, KY
NPI 1124303516 · NPPES record last updated Mar 6, 2014
Key facts
- NPI
- 1124303516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3003580 (KY)
- Practice address
- 927 E Broadway
Louisville, KY 40204-1001 - Phone
- (859) 252-6500
- Fax
- (502) 222-0029
- NPI assigned
- Oct 17, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Stop Urgent Care Dupont PSC | Family | Past | Accepting new patients |
| Lake Cumberland District Health Department | Past | Accepting new patients | |
| Kentuckyone Health Medical Group, Inc. | Past | Accepting new patients | |
| Lake Cumberland District Health Department | Past | Accepting new patients | |
| Lake Cumberland District Health Department | Past | Accepting new patients | |
| First Stop Urgent Care Broadway PSC | Family | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3003580 | KY | Yes |
Addresses
Primary practice location
927 E Broadway
Louisville, KY 40204-1001
Mailing address
927 E Broadway
Louisville, KY 40204-1001
Phone (859) 252-6500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000792714 | Other | KY | ANTHEM PIN |
| 78007572 | Medicaid | KY |
Other providers in Louisville, KY
- Dana Rae Keim
- Stephen Joseph Keiran Jr.
- Amy Keisler
- Aaron D Keister
- Rachel Keith-Weiss
- Jonathan Michael Nathaniel Keith
- Kaelyn Michele Keith
- Kendra Keith
- Kenneth Wayne Keith Jr.
- Matthew Cody Lee Keith
All providers in Louisville, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.