Pride Health Care Service LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3008170 Issued in KY

Legal business name

PRIDE HEALTH CARE SERVICE LLC

Practice address

417 E Lee St
Louisville, KY 40217-1139

Phone

(502) 409-5805

NPI assigned

Jan 12, 2015

Last updated

Jan 12, 2015By 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

Mr. Amandeep Singh

Title

Manager

Phone

(502) 565-4355

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1396134540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E LEE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171139",
            "telephone_number": "502-409-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E LEE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171139",
            "telephone_number": "502-409-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE HEALTH CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "AMANDEEP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-565-4355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Dawn Priddy, LCSW
• Erin E Priddy, M.D.
• Katelynn Marie Priddy
• Melissa Priddy, RBT
• Misty R Priddy, LMFT
• Dwight Pridham, MD
• Allison Marie Priebe
• Jennifer Lee Priest Wiseman, CRNA
• Cameron Priest
• Kimberly Priest

• 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 Jan 12, 2015; 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.