Organization Active NPI

Heuser Health & Fitness Center, LLC

  • Wound Care Registered Nurse
  • Louisville, KY
National Provider Identifier
1154719797
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
HEUSER HEALTH & FITNESS CENTER, LLC
Practice address
1860 Mellwood Ave # 197
Louisville, KY 40206-1033
Phone
(502) 893-7833
Fax
(502) 895-4418
NPI assigned
Jan 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Peggy Janson Heuser, APRNNPI 1053784017
Title
Cmo
Phone
(502) 893-7833

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
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0000X Primary

Addresses

Primary practice location

1860 Mellwood Ave # 197
Louisville, KY 40206-1033

Mailing address

1860 Mellwood Ave # 197
Louisville, KY 40206-1033
Phone (502) 893-7833

Other practice location 1

626 E Main St Ste 105
Louisville, KY 40202-1186
Phone (502) 893-7833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160405001416 KY Part B Supplier - Clinic/Group Practice 5496052573 Receives reassigned benefits from 4 practitioners
Practice locations: Louisville, KY
O20260609000879 IN Part B Supplier - Clinic/Group Practice 5496052573 Receives reassigned benefits from 2 practitioners
Practice locations: Jeffersonville, IN

National Provider Directory

National Provider Directory

Locations

424 E Court Ave
Ste B
Jeffersonville, IN 47130

1860 Mellwood Ave
#197
Louisville, KY 40206
Phone (502) 893-7833

1860 Mellwood Ave
Ste 197
Louisville, KY 40206
Phone (502) 893-7833

2040 Metal Ln
Louisville, KY 40206
Phone (502) 245-1136

626 E Main St
Ste 105
Louisville, KY 40202
Phone (502) 893-7833

Practitioners & affiliated clinicians

Practitioners 4

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": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1154719797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 MELLWOOD AVE # 197",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061033",
            "telephone_number": "502-893-7833",
            "fax_number": "502-895-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 MELLWOOD AVE # 197",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061033",
            "telephone_number": "502-893-7833",
            "fax_number": "502-895-4418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 E Main St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021186",
            "country_code": "US",
            "telephone_number": "502-893-7833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEUSER HEALTH & FITNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "HEUSER",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "JANSON",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "502-893-7833",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "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 Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.