Karen Eastridge LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

3658P Issued in KY

Legal business name

KAREN EASTRIDGE LLC

Doing business as

Diabetes Wellness and Healthcare

Practice address

1553 Highway 44 E Ste 2
Shepherdsville, KY 40165-7183

Phone

(502) 921-0055

Fax

(502) 805-0056

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Eastridge, NPC, CDE

Title

Owner-Practioner

Phone

(502) 415-2828

Specialties & licenses 1

Addresses

Other names 1

• Diabetes Wellness and Healthcare Doing business as

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1477767549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 HIGHWAY 44 E STE 2",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657183",
            "telephone_number": "502-921-0055",
            "fax_number": "502-805-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 HIGHWAY 44 E STE 2",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657183",
            "telephone_number": "502-921-0055",
            "fax_number": "502-805-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN EASTRIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "EASTRIDGE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER-PRACTIONER",
        "authorized_official_telephone_number": "502-415-2828",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NPC, CDE"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "KY",
            "license": "3658P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes Wellness and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaimie Johnson
• Rebecca Johnson, PTA
• Kaitlyn Elizabeth Jones
• Alyson E Kane, PT, DPT
• Jennifer Kara, DPT
• Kristin Kaster-Bratcher
• Christina Kayrouz, LCSW
• Kelly Kerr LLC
• Barbara G Kelly, MD
• Michael Gerard Kelly, O.D.

• Medical Specialty Clinic/Center in Shepherdsville, KY
• Providers in Shepherdsville, KY by specialty
• Medical Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.