Convenient Care Family Medical

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CONVENIENT CARE FAMILY MEDICAL

Practice address

11302 Preston Hwy
Suite 2
Louisville, KY 40229-2862

Phone

(615) 293-4172

Fax

(931) 527-3414

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Donna Cheryll Collins, FNP

Title

Owner/ NP

Phone

(615) 293-4172

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tricia Richardson, APRN

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1508296609
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265844781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 PRESTON HWY",
            "address_2": "SUITE 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292862",
            "telephone_number": "615-293-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11302 PRESTON HWY",
            "address_2": "SUITE 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292862",
            "telephone_number": "615-293-4172",
            "fax_number": "931-527-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT CARE FAMILY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "CHERYLL",
        "authorized_official_title_or_position": "OWNER/ NP",
        "authorized_official_telephone_number": "615-293-4172",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Max Contreras, COTA
• Elizabeth Conver, PHARMD
• Linda Rutherford Conver, RN
• Emily Converse, DO
• Michelle Lynn Converse, MS OTR/L
• Convi Physical Therapy PLLC

• Primary Care Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Primary Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.