Pediatric Associates of Louisville, PLLC

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

1065462 Issued in KY

Legal business name

PEDIATRIC ASSOCIATES OF LOUISVILLE, PLLC

Practice address

5721 Bardstown Rd
Louisville, KY 40291-1913

Phone

(502) 231-1144

Fax

(502) 231-1508

NPI assigned

Jan 29, 2016

Organization subpart

No

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

Authorized official

Name

Lisa Paris

Title

Billing

Phone

(502) 231-1144

Specialties & licenses 1

Addresses

Tax ID family

Pediatric Associates of Louisville PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Associates of Louisville, PLLC

  • Pediatrics Physician
  • Louisville, KY
  • NPI 1780705392
  NPD tax ID

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1376901868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911913",
            "telephone_number": "502-231-1144",
            "fax_number": "502-231-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911913",
            "telephone_number": "502-231-1144",
            "fax_number": "502-231-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF LOUISVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "PARIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "502-231-1144"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "KY",
            "license": "1065462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Anaesthesia Associates, PSC
• Pediatric and Adult Prompt Care LLC
• Pediatric and Neonatal Specialists
• Pediatric and Neonatal Specialists
• Pediatric and Perinatal Pathology Associates PSC
• Pediatric Associates of Louisville, PLLC
• Pediatric Cardiology Associates
• Pediatric Dental Group of Louisville
• Pediatric Gastroenterology PSC
• Pediatric Heartcare Partners PSC

• Pediatric Clinical Nurse Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatric Clinical Nurse Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.