Jessica Spainhoward

Individual provider Active NPI Case Manager/Care Coordinator · Louisville, KY

NPI 1134472103 · NPPES record last updated Jun 12, 2014

Key facts

NPI
1134472103
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
914 E Broadway
Louisville, KY 40204-1037
Phone
(502) 589-8600
Fax
(502) 589-8745
NPI assigned
Oct 16, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

914 E Broadway
Louisville, KY 40204-1037

Mailing address

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

Other providers in Louisville, KY

All providers in Louisville, KY · Case Manager/Care Coordinator in Kentucky

Sources for this page

Verify at the official NPI Registry.