Organization Active NPI

Nally Family Practice PLLC

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1174821854
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NALLY FAMILY PRACTICE PLLC
Practice address
11302 Preston Hwy
Louisville, KY 40229-2862
Phone
(502) 961-5970
Fax
(502) 961-5980
NPI assigned
Mar 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Kari N Nally, MD
Title
Owner
Phone
(502) 961-5970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

11302 Preston Hwy
Louisville, KY 40229-2862

Mailing address

11302 Preston Hwy
Louisville, KY 40229-2862
Phone (502) 961-5970

Other identifiers 2

IdentifierTypeStateIssuer
7100160290MedicaidKY
K004941OtherKYMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1174821854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292862",
            "telephone_number": "502-961-5970",
            "fax_number": "502-961-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11302 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292862",
            "telephone_number": "502-961-5970",
            "fax_number": "502-961-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NALLY FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "NALLY",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-961-5970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100160290",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K004941",
            "state": "KY"
        }
    ],
    "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 Sep 8, 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.