NPIMap

Organization Active NPI

Diabetes Clinical Services, PSC

  • Nurse Practitioner
  • Crestwood, KY
National Provider Identifier
1336196997
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
DIABETES CLINICAL SERVICES, PSC
Practice address
4010 Dana Rd
Crestwood, KY 40014-9224
Phone
(502) 895-2334
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Authorized official

Name
Ms. Elizabeth M Grabowski, ARNP
Title
Owner, President, Clinical Director
Phone
(502) 895-2334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

4010 Dana Rd
Crestwood, KY 40014-9224

Mailing address

PO Box 6337
Louisville, KY 40206-0337
Phone (502) 895-2334

Other practice location 1

3901 Dutchmans Ln Ste 105
Louisville, KY 40207-4726
Phone (502) 895-2334

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1336196997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6337",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402060337",
            "telephone_number": "502-895-2334",
            "fax_number": "502-896-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DANA RD",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149224",
            "telephone_number": "502-895-2334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Dutchmans Ln Ste 105",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074726",
            "country_code": "US",
            "telephone_number": "502-895-2334",
            "fax_number": "502-896-6987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIABETES CLINICAL SERVICES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "GRABOWSKI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "502-895-2334",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestwood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.