Anthony S Barmore
Individual provider Active NPI Community Health Worker · Louisville, KY
NPI 1417835000 · NPPES record last updated May 19, 2026
Key facts
- NPI
- 1417835000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- KCCHW12509744 (KY)
- Practice address
- 4402 Churchman Ave Ste 410
Louisville, KY 40215-3102 - Phone
- (502) 588-4789
- NPI assigned
- Aug 22, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KCCHW12509744 | KY | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | KCCHW12509744 | KY | Yes |
Addresses
Primary practice location
4402 Churchman Ave Ste 410
Louisville, KY 40215-3102
Mailing address
4402 Churchman Ave Ste 410
Louisville, KY 40215-3102
Phone (502) 588-4789
Other providers in Louisville, KY
- Laura Elizabeth Barkley
- David Barley
- Lisa Marie Abell Barlow
- Tonya Star Barlow
- Daniel A Barlowe
- John Barmore
- Amelia Cevelle Barna
- Kristen Barnard
- Yasmeen Barnes-Brooks
- Catessa Tomas Barnes
All providers in Louisville, KY · Community Health Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.