Organization Active NPI

Community NP,LLC

  • Family Nurse Practitioner
  • La Grange, KY
National Provider Identifier
1225608136
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
COMMUNITY NP,LLC
Practice address
313 S 1St Ave
La Grange, KY 40031-1223
Phone
(502) 535-2158
NPI assigned
Jul 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Veronica C Edwards, APRNNPI 1598218810
Title
Owner
Phone
(502) 909-2414

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

313 S 1St Ave
La Grange, KY 40031-1223

Mailing address

2809 Ridgewood Rd
La Grange, KY 40031-9032
Phone (502) 909-2414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220503001209 KY Part B Supplier - Clinic/Group Practice 8022405448 Receives reassigned benefits from 1 practitioner
Practice locations: La Grange, KY

National Provider Directory

National Provider Directory

Locations

604 Crystal Pl
Ste 5
La Grange, KY 40031
Phone (502) 535-2158

606 Crystal Pl
Ste 3
La Grange, KY 40031
Phone (502) 535-2158

313 S First Ave
La Grange, KY 40031
Phone (502) 535-2158

111 S First Ave
La Grange, KY 40031

Practitioners & affiliated clinicians

Practitioners 1

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": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1225608136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 RIDGEWOOD RD",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319032",
            "telephone_number": "502-909-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S 1ST AVE",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400311223",
            "telephone_number": "502-535-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY NP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-909-2414",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.