Active NPI
Orthoregenerative Institute
- Adult Health Nurse Practitioner
- Louisville, KY
National Provider Identifier
1417567918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- ORTHOREGENERATIVE INSTITUTE
- Practice address
- 701 Executive Park
Louisville, KY 40207 - Phone
- (502) 314-2187
- Fax
- (502) 657-5046
- NPI assigned
- Aug 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Seth J Summers, OD
- Title
- Vice President
- Phone
- (502) 523-7547
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary | ||
| Gerontology Nurse Practitioner | 363LG0600X |
Addresses
Primary practice location
701 Executive Park
Louisville, KY 40207
Mailing address
5903 Jenness CT
Louisville, KY 40222-6359
Phone (502) 523-7547
National Provider Directory
National Provider DirectoryLocations
701 Executive Park
Louisville, KY 40207
Phone (502) 305-5056
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Louisville, KY
- NPI 1154332203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601510400000",
"number": "1417567918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5903 JENNESS CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402226359",
"telephone_number": "502-523-7547",
"fax_number": "502-657-5046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 EXECUTIVE PARK",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40207",
"telephone_number": "502-314-2187",
"fax_number": "502-657-5046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOREGENERATIVE INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-09",
"last_updated": "2020-10-01",
"certification_date": "2020-09-29",
"status": "A",
"authorized_official_last_name": "SUMMERS",
"authorized_official_first_name": "SETH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "502-523-7547",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- Orthopaedic Specialists PLLC
- Orthopedic & Sports Physical Therapy PLLC
- Orthopedic & Sports Specialists of Louisville, PSC
- Orthopedic Hand and Arm PLLC
- Orthopedic Trauma Associates, PSC
- Anna Marie Lilia Ortiz
- Madison Ortman, CSW, MSSW
- Marybeth Orton, MA, ATR-BC, CPAT
- Grace Esohe Osagie, MD
- Megan Osborn, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.