Louisville Palliative Care LLC

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

25867 Issued in KY

Legal business name

LOUISVILLE PALLIATIVE CARE LLC

Practice address

3625 Fern Valley Road
Louisville, KY 40219-1916

Phone

(502) 262-5172

Fax

(502) 244-6249

NPI assigned

Aug 18, 2009

Last updated

Aug 31, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jane E Cornett, MD

Title

Owner

Phone

(502) 262-5172

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1346472750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5644 RELIABLE PARKWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860056",
            "telephone_number": "502-262-5172",
            "fax_number": "502-244-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 FERN VALLEY ROAD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402191916",
            "telephone_number": "502-262-5172",
            "fax_number": "502-244-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "CORNETT",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-262-5172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "KY",
            "license": "25867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100149990",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hospice and Palliative Medicine (Internal Medicine) Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.