Organization Active NPI

Simetria

  • Audiologist
  • Louisville, KY
National Provider Identifier
1134200124
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0388 Issued in KY
Legal business name
SIMETRIA
Practice address
4040 Dutchmans LN # a
Louisville, KY 40207-4712
Phone
(502) 895-0404
Fax
(502) 895-0752
NPI assigned
Oct 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dana Lynn Deyoung
Title
Director of Credentialing
Phone
(502) 245-0767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 0388 KY Primary

Addresses

Primary practice location

4040 Dutchmans LN # a
Louisville, KY 40207-4712

Mailing address

4040 Dutchmans LN # a
Louisville, KY 40207-4712
Phone (502) 895-0404

National Provider Directory

National Provider Directory

Locations

4040 Dutchmans Ln
#A
Louisville, KY 40207
Phone (931) 388-0777

4040A Dutchmans Ln
Louisville, KY 40207
Phone (502) 895-0404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134200124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 DUTCHMANS LN # A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074712",
            "telephone_number": "502-895-0404",
            "fax_number": "502-895-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 DUTCHMANS LN # A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074712",
            "telephone_number": "502-895-0404",
            "fax_number": "502-895-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMETRIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEYOUNG",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "502-245-0767"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "KY",
            "license": "0388",
            "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 Aug 22, 2020; 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.