Active NPI
Katie M Myers, APRN, FNP
- Family Nurse Practitioner
- Louisville, KY
National Provider Identifier
1194164129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1120078
- Practice address
- 5001 Mud LN
Louisville, KY 40229-2870 - Phone
- (502) 962-0710
- NPI assigned
- Jun 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1120078 | KY | Primary |
Addresses
Primary practice location
5001 Mud LN
Louisville, KY 40229-2870
Mailing address
2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1120078 | KY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408492800000",
"number": "1194164129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 ELM HILL PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143108",
"telephone_number": "615-425-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 MUD LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402292870",
"telephone_number": "502-962-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "KATIE",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "APRN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-24",
"last_updated": "2014-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "1120078",
"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 Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.