NPIMap

Organization Active NPI

Louisville-Jefferson County Metro Government

Doing business as Jefferson County Lead Program

  • Public Health or Welfare Agency
  • Louisville, KY
National Provider Identifier
1225163595
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
251K000004 Issued in KY
Legal business name
LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT
Doing business as
Jefferson County Lead Program
Practice address
400 E Gray St
Louisville, KY 40202-1740
Phone
(502) 574-5652
Fax
(502) 574-6417
NPI assigned
Feb 23, 2007
Last updated
Feb 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 251K000004 KY Primary

Addresses

Primary practice location

400 E Gray St
Louisville, KY 40202-1740

Mailing address

400 E Gray St
P.O.Box 1704
Louisville, KY 40202-1740
Phone (502) 574-6514

Other identifiers 2

IdentifierTypeStateIssuer
1060992OtherKYPASSPORT MANAGED CARE NUM
20056255MedicaidKY

Other names 1

  • Jefferson County Lead Program Doing business as

National Provider Directory

National Provider Directory

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": "1225163595",
    "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": "400 E GRAY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021740",
            "telephone_number": "502-574-5652",
            "fax_number": "502-574-6417"
        }
    ],
    "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT MANAGED CARE NUM",
            "identifier": "1060992",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20056255",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson County Lead Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.

Verify at the official NPI Registry.