Organization Active NPI

Interlocking Hearts Healthcare - Primary and Express Care

  • Primary Care Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1497218507
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE
Practice address
801 W Broadway Ste 4
Louisville, KY 40202-2236
Phone
(502) 963-5803
Fax
(502) 709-4094
NPI assigned
Apr 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Omega Savage, APRN
Title
Owner
Phone
(502) 821-0652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

801 W Broadway Ste 4
Louisville, KY 40202-2236

Mailing address

PO Box 153
Louisville, KY 40201-0153

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1497218507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BROADWAY STE 4",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022236",
            "telephone_number": "502-963-5803",
            "fax_number": "502-709-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "OMEGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-821-0652",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.