Active NPI
Mary Becker, LLC
- Women's Health Nurse Practitioner
- Louisville, KY
National Provider Identifier
1295067411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 2137P
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952305807 | Other | KY | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryPractitioners & 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.