Lousville-Jefferson County Metro Government

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

251K000004 Issued in KY

Legal business name

LOUSVILLE-JEFFERSON COUNTY METRO GOVERNMENT

Doing business as

Louisville Metro Depart of Public Health & Wellness -Southpark TAPP

Practice address

9110 National Turnpike
Fairdale, KY 40118

Phone

(502) 485-8748

Fax

(502) 485-6391

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth R. Kring, CPA

Title

Business Manager II

Phone

(502) 574-8430

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Louisville Metro Depart of Public Health & Wellness -Southpark TAPP Doing business as

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477688802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E GRAY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021740",
            "telephone_number": "502-574-5652",
            "fax_number": "502-574-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 NATIONAL TURNPIKE",
            "city": "FAIRDALE",
            "state": "KY",
            "postal_code": "40118",
            "telephone_number": "502-485-8748",
            "fax_number": "502-485-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUSVILLE-JEFFERSON COUNTY METRO GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRING",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "BUSINESS MANAGER II",
        "authorized_official_telephone_number": "502-574-8430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KY",
            "license": "251K000004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT MANAGED CARE NUM",
            "identifier": "1051425",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20056123",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisville Metro Depart of Public Health & Wellness -Southpark TAPP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Intrinzik Health Care Services
• Keyonna Johnson, LCSW
• Mosen Rashid Khani, D.C.
• Shelley Lampe
• Louisville-Jefferson County Metro Government
• Dona J Meers, C.N.P.
• Renu M. Mehta, M.D.
• New Hope Adhc LLC
• Amanda Calloway Phillips, NP
• Erika Price, LPN

• Public Health or Welfare Agency in Fairdale, KY
• Providers in Fairdale, KY by specialty
• Public Health or Welfare Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.