Active NPI
Louisville-Jefferson County Metro Government
Doing business as Louisville MetroDepart of Public Health & Wellness - Jeff County Lab
- Public Health or Welfare Agency
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT
- Doing business as
- Louisville MetroDepart of Public Health & Wellness - Jeff County Lab
- Practice address
- 430 East Gray Street
Louisville, KY 40202 - Phone
- (502) 574-6540
- Fax
- (502) 574-6614
- NPI assigned
- Feb 22, 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 | KY | Primary |
Addresses
Primary practice location
430 East Gray Street
Louisville, KY 40202
Mailing address
400 E Gray St
P. O. Box 1704
Louisville, KY 40202-1740
Phone (502) 574-6514
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37902889 | Medicaid | KY | |
| 1060990 | Other | KY | PASSPORT MANAGED CARE NUM |
Other names 1
- Louisville MetroDepart of Public Health & Wellness - Jeff County Lab
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Newburg Health Clinic
- Public Health or Welfare Agency
- Louisville, KY
- NPI 1255466512
O20240604002137
-
dba Jefferson County Immunization Int Project
- Public Health or Welfare Agency
- Louisville, KY
- NPI 1316072689
O20240604002137
-
dba Louisville Metro Depart of Public Health & Wellness - Specialty Clinic
- Public Health or Welfare Agency
- Louisville, KY
- NPI 1255466926
O20240604002137
-
dba Louisville Metro Depart of Public Health & Wellness - Dixie Health Cen
- Public Health or Welfare Agency
- Louisville, KY
- NPI 1457486714
O20240604002137
-
dba Louisville Metro Depart of Public Health & Wellness- TB Clinic
- Public Health or Welfare Agency
- Louisville, KY
- NPI 1699800961
O20240604002137
National Provider Directory
National Provider DirectoryLocations (25 of 43)
10015 Mitchell Hill Rd
Fairdale, KY 40118
Phone (502) 366-0122
514 W Liberty St
Louisville, KY 40202
Phone (502) 574-4260
501 W Ashland Ave
Louisville, KY 40214
Phone (502) 363-9205
4401 Rangeland Rd
Louisville, KY 40219
Phone (502) 962-3174
2600 S 4th St
Louisville, KY 40208
Phone (502) 574-3518
4101 Bardstown Rd
Louisville, KY 40218
Phone (502) 491-0085
3228 River Park Dr
Louisville, KY 40211
Phone (502) 776-9400
4810 Exeter Ave
Louisville, KY 40218
Phone (502) 458-0778
1500 S 6th St
Louisville, KY 40208
Phone (502) 637-9309
1800 Park Rd
Louisville, KY 40216
Phone (502) 449-5025
4535 Manslick Rd
Louisville, KY 40216
Phone (502) 363-9428
706 W Kenwood Dr
Louisville, KY 40214
Phone (502) 363-9563
430 E Gray St
Louisville, KY 40202
Phone (502) 574-6540
834 E Broadway
#5
Louisville, KY 40204
3511 Fincastle Rd
Louisville, KY 40213
Phone (502) 458-9814
1761 Frankfort Ave
Louisville, KY 40206
Phone (502) 896-9170
2600 S 4th St
#8
Louisville, KY 40208
Phone (502) 574-3518
821 S 6th St
Louisville, KY 40203
Phone (502) 574-1553
2620 Frankfort Ave
Louisville, KY 40206
Phone (502) 896-9291
1411 Algonquin Pkwy
Louisville, KY 40210
Phone (502) 634-6077
1735 Bardstown Rd
Louisville, KY 40205
Phone (502) 458-9383
1824 Garland Ave
Louisville, KY 40210
Phone (502) 776-9308
235 E Jefferson St
Louisville, KY 40202
Phone (502) 574-1561
7308 Fegenbush Ln
Louisville, KY 40228
Phone (502) 239-3561
3401 Dutchmans Ln
#10
Louisville, KY 40205
Phone (502) 458-9363
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Louisville, KY
- NPI 1649433434
-
- Ophthalmology Physician
- Louisville, KY
- NPI 1922082072
-
- Adult Health Nurse Practitioner
- Louisville, KY
- NPI 1578794186
-
- Registered Dietitian
- Louisville, KY
- NPI 1760887004
-
- Registered Dietitian
- Louisville, KY
- NPI 1912386111
-
- Registered Dietitian
- Louisville, KY
- NPI 1679978928
-
- Registered Dietitian
- Louisville, KY
- NPI 1568867893
-
- Registered Dietitian
- Louisville, KY
- NPI 1972996999
-
- Registered Dietitian
- Louisville, KY
- NPI 1982009221
-
- Pediatric Infectious Diseases Physician
- Santa Ana, CA
- NPI 1871577833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1245365246",
"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": "430 EAST GRAY STREET",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40202",
"telephone_number": "502-574-6540",
"fax_number": "502-574-6614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2024-04-22",
"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": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37902889",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT MANAGED CARE NUM",
"identifier": "1060990",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Louisville MetroDepart of Public Health & Wellness - Jeff County Lab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
- Louisville-Jefferson County Metro Government (Louisville Metro Depart of Public Health & Wellness - NJ South Central)
- Louisville-Jefferson County Metro Government (Louisville Metro Depart of Public Health & Wellness-Portland WIC)
- Louisville-Jefferson County Metro Government (Louisville Metro Depart of Public Health & Wellness- NP L & N)
- Louisville-Jefferson County Metro Government (Louisville Metro Department of Public health & Wellness - NP East)
- Louisville-Jefferson County Metro Government (Jefferson County Lead Program)
- Louisville-Jefferson County Metro Government (Louisville Metro Depart of Public Health & Wellness - Specialty Clinic)
- Louisville-Jefferson County Metro Government (Louisville Metro Depart of Public Health & Wellness - Middletown Healt)
- Louisville-Jefferson County Metro Government (Louisville Metro Depart of Public Health & Wellness - Dixie Health Cen)
- Louisville-Jefferson County Metro Government (Louisville Metro Depart of Public Health & Wellness - Cardiovasular Pr)
- Louisville-Jefferson County Metro Government (Louisville Metro Depart of Public Health & Wellness-NP Greater Cane Ru)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.