Active NPI
Mary Lynn Barresi, DO
- Internal Medicine Physician
- Louisville, KY
National Provider Identifier
1255485256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 02573
- Practice address
- 825 S 6TH St
Louisville, KY 40203-2123 - Phone
- (502) 561-7000
- Fax
- (502) 568-1015
- NPI assigned
- Jan 23, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 02573 | KY | Primary |
Addresses
Primary practice location
825 S 6TH St
Louisville, KY 40203-2123
Mailing address
825 S 6TH St
Louisville, KY 40203-2123
Phone (502) 561-7000
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02573 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarion Health and Wellness LLC | Past | Accepting new patients | |
| First Stop Urgent Care Center PSC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Hazard, KY
- NPI 1063717080
-
- Family Medicine Physician
- Lagrange, KY
- NPI 1285731497
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1255485256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 S 6TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032123",
"telephone_number": "502-561-7000",
"fax_number": "502-568-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 S 6TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032123",
"telephone_number": "502-561-7000",
"fax_number": "502-568-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRESI",
"first_name": "MARY",
"middle_name": "LYNN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "02573",
"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 Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.