Individual provider Active NPI

Nestor Veliz Tamayo, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1154040632
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017845 Issued in KY
Practice address
1050 E Market St
Louisville, KY 40206-1874
Phone
(502) 588-8900
NPI assigned
Aug 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3017845 KY Primary

Addresses

Primary practice location

1050 E Market St
Louisville, KY 40206-1874

Mailing address

10115 Stonestreet Road
Louisville, KY 40272-2973
Phone (502) 821-6804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230119002327 KY Practitioner - Nurse Practitioner 2961873443 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3017845KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Childrens Medical Group, LLC Family CurrentSince Jan 1, 2023 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

5109 New Cut Rd
Louisville, KY 40214
Phone (502) 361-1197

7926 Preston Hwy
Ste 210
Louisville, KY 40219
Phone (502) 309-9811

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

1050 E Market St
Ste 101
Louisville, KY 40206
Phone (502) 588-8900

1050 E Market St
Ste 1
Louisville, KY 40206
Phone (502) 588-8905

5211 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 966-3918

189 Outer Loop
Ste 2
Louisville, KY 40214
Phone (502) 379-8870

1050 E Market St
Louisville, KY 40206
Phone (502) 588-9587

Interoperability endpoints

  • Direct secure messaging: nveliztamayo93457@direct.nortonhealthcare.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1154040632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 STONESTREET ROAD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722973",
            "telephone_number": "502-821-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E MARKET ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061874",
            "telephone_number": "502-588-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELIZ TAMAYO",
        "first_name": "NESTOR",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.