Organization Active NPI

Life Skill Building PLLC

  • Specialist
  • Louisville, KY
National Provider Identifier
1144501164
Registry record updated Sep 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R3522 Issued in KY
Legal business name
LIFE SKILL BUILDING PLLC
Practice address
3111 Summerfield Dr
Louisville, KY 40220-3329
Phone
(502) 415-0321
NPI assigned
Sep 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2011

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

Authorized official

Name
Kelly Anne Scott, MSOTR/L, LMTBNPI 1861520967
Title
Ceo
Phone
(502) 415-0321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X R3522 KY Primary

Addresses

Primary practice location

3111 Summerfield Dr
Louisville, KY 40220-3329

Mailing address

3111 Summerfield Dr
Louisville, KY 40220-3329
Phone (502) 415-0321

Other names 1

  • Kelly Scott Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1315008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315008000000",
    "number": "1144501164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 SUMMERFIELD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203329",
            "telephone_number": "502-415-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 SUMMERFIELD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203329",
            "telephone_number": "502-415-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILL BUILDING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-03",
        "last_updated": "2011-09-03",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-415-0321",
        "authorized_official_credential": "MSOTR/L, LMTB"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "R3522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly Scott",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 3, 2011; 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.