Gladstone Mobile Healthcare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GLADSTONE MOBILE HEALTHCARE LLC

Practice address

2500 W Broadway Ste 100
Louisville, KY 40211-1184

Phone

(502) 888-9181

NPI assigned

Jun 4, 2021

Organization subpart

No

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

Authorized official

Name

Latrice Anderson, RN, BSN, LMTNPI 1225451792

Title

Registered Nurse/Owner

Phone

(502) 888-9181

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Latrice Anderson, R.N.

  • Registered Nurse
  • Louisville, KY
  • NPI 1225451792
  NPD Authorized official

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1295302636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W BROADWAY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111184",
            "telephone_number": "502-888-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W BROADWAY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111184",
            "telephone_number": "502-888-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADSTONE MOBILE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LATRICE",
        "authorized_official_title_or_position": "REGISTERED NURSE/OWNER",
        "authorized_official_telephone_number": "502-888-9181",
        "authorized_official_credential": "RN, BSN, LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Givens III, M.D.
• Tamara Givens, LPCC
• Sheenagh E Gividen, OTR/L
• GK Medical Inc
• Judith Kay Gladish, APRN
• Charles M Gladstone, D.C.
• Melisse Ferree Gladwell, FNP-C
• Bryan Jeremy Glaenzer, M.D.
• Donna Louise Glaspie, ARNP
• Beth Glass

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.