Organization Active NPI

Gods Grace of Kentucky

  • Peer Specialist
  • Louisville, KY
National Provider Identifier
1275213258
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
GODS GRACE OF KENTUCKY
Practice address
500 Beecher St
Louisville, KY 40215-2804
Phone
(203) 850-1630
NPI assigned
Jul 24, 2023
Last updated
Jul 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Ms. Debra White
Title
Owner
Phone
(502) 855-9122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

500 Beecher St
Louisville, KY 40215-2804

Mailing address

500 Beecher St
Louisville, KY 40215-2804
Phone (203) 850-1630

National Provider Directory

National Provider Directory

Locations

500 Beecher St
Louisville, KY 40215
Phone (203) 850-1630

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1275213258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BEECHER ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152804",
            "telephone_number": "203-850-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BEECHER ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152804",
            "telephone_number": "203-850-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODS GRACE OF KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-855-9122",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "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 Jul 24, 2023; 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.