Commonwealth Family Care PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3002841 Issued in KY

Legal business name

COMMONWEALTH FAMILY CARE PLLC

Practice address

7410 New la Grange Rd
Suite 125
Louisville, KY 40222-4871

Phone

(502) 742-0460

Fax

(502) 742-9340

NPI assigned

Jan 25, 2016

Organization subpart

No

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

Authorized official

Name

Laura Kelly White, APRN

Title

President

Phone

(502) 403-0007

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1386001196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 NEW LA GRANGE RD",
            "address_2": "SUITE 125",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224871",
            "telephone_number": "502-742-0460",
            "fax_number": "502-742-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 NEW LA GRANGE RD",
            "address_2": "SUITE 125",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224871",
            "telephone_number": "502-742-0460",
            "fax_number": "502-742-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-403-0007",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3002841",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.