Organization Active NPI

Mary Becker, LLC

  • Women's Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1295067411
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
2137P Issued in KY
Legal business name
MARY BECKER, LLC
Practice address
4121 Dutchmans LN
Suite 101
Louisville, KY 40207-4707
Phone
(502) 896-8660
Fax
(502) 896-5863
NPI assigned
Feb 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Karolyn Sumser, MBA
Title
Business Manager
Phone
(502) 896-8660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X 2137P KY Primary

Addresses

Primary practice location

4121 Dutchmans LN
Suite 101
Louisville, KY 40207-4707

Mailing address

4121 Dutchmans LN
Suite 101
Louisville, KY 40207-4707
Phone (502) 896-8660

Other identifiers 1

IdentifierTypeStateIssuer
1952305807OtherKYINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1266019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1295067411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 DUTCHMANS LN",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074707",
            "telephone_number": "502-896-8660",
            "fax_number": "502-896-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 DUTCHMANS LN",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074707",
            "telephone_number": "502-896-8660",
            "fax_number": "502-896-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BECKER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-13",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "SUMSER",
        "authorized_official_first_name": "KAROLYN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "502-896-8660",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "2137P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1952305807",
            "state": "KY"
        }
    ],
    "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 25, 2011; 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.