Individual provider Active NPI

Amber M Missi, ARNP

  • Critical Care Neonatal Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1285856625
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
1100036 Issued in KY
Practice address
601 S Floyd St
804
Louisville, KY 40202-1835
Phone
(502) 583-0127
Fax
(502) 583-1239
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X 1100036 KY Primary

Addresses

Primary practice location

601 S Floyd St
804
Louisville, KY 40202-1835

Mailing address

601 S Floyd St
804
Louisville, KY 40202-1835
Phone (502) 583-0127

Other identifiers 1

IdentifierTypeStateIssuer
1100036OtherKYSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200316002076 KY Practitioner - Nurse Practitioner 9739517228 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1100036KYMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC CurrentSince Feb 1, 2020 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Feb 1, 2020 Accepting new patients
Norton Childrens Medical Group, LLC Past Accepting new patients

Locations

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285856625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S FLOYD ST",
            "address_2": "804",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021835",
            "telephone_number": "502-583-0127",
            "fax_number": "502-583-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S FLOYD ST",
            "address_2": "804",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021835",
            "telephone_number": "502-583-0127",
            "fax_number": "502-583-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSI",
        "first_name": "AMBER",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "KY",
            "license": "1100036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1100036",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.