Active NPI
Louisville-Jefferson County Metro Government
- Public Health or Welfare Agency
- Louisville, KY
National Provider Identifier
1184759441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 251K000004
- Legal business name
- LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT
- Practice address
- 908 W Broadway
Louisville, KY 40203-2029 - Phone
- (502) 595-3121
- Fax
- (502) 595-4532
- NPI assigned
- Feb 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Robyn Dickerson, MSM
- Title
- Fiscal Manager
- Phone
- (502) 574-6580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 251K000004 | KY | Primary |
Addresses
Primary practice location
908 W Broadway
Louisville, KY 40203-2029
Mailing address
400 E Gray St
P. O. Box 1704
Louisville, KY 40202-1740
Phone (502) 574-6514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20056305 | Medicaid | KY |
Other names 1
- Louisville Metro Depart of Public Health & Wellness- NP L & N
National Provider Directory
National Provider DirectoryLocations
908 W Broadway
Louisville, KY 40203
Phone (502) 595-3121
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Louisville, KY
- NPI 1841695178
-
- Registered Dietitian
- Louisville, KY
- NPI 1801291141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708646400000",
"number": "1184759441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E GRAY ST",
"address_2": "P. O. BOX 1704",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021740",
"telephone_number": "502-574-6514",
"fax_number": "502-574-6417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 W BROADWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032029",
"telephone_number": "502-595-3121",
"fax_number": "502-595-4532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2024-02-23",
"certification_date": "2023-08-15",
"status": "A",
"authorized_official_last_name": "DICKERSON",
"authorized_official_first_name": "ROBYN",
"authorized_official_title_or_position": "FISCAL MANAGER",
"authorized_official_telephone_number": "502-574-6580",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSM"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "KY",
"license": "251K000004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20056305",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Louisville Metro Depart of Public Health & Wellness- NP L & N",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
- Louisville Wound Care Associates PSC
- Louisville-Jefferson County Metro Government
- Louisville-Jefferson County Metro Government
- Louisville-Jefferson County Metro Government
- Louisville-Jefferson County Metro Government
- Louisville-Jefferson County Metro Government
- Louisville-Jefferson County Metro Government
- Louisville-Jefferson County Metro Government
- Louisville-Jefferson County Metro Government
- Louisville-Jefferson County Metro Government
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.