Active NPI
Krista M Desensi, M.D.
- Pediatrics Physician
- Louisville, KY
National Provider Identifier
1497738546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 37223
- Practice address
- 6801 Dixie Hwy
Suite127
Louisville, KY 40258-3913 - Phone
- (502) 935-5633
- Fax
- (502) 935-5706
- NPI assigned
- Nov 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 37223 | KY | Primary |
Addresses
Primary practice location
6801 Dixie Hwy
Suite127
Louisville, KY 40258-3913
Mailing address
6801 Dixie Hwy
Suite127
Louisville, KY 40258-3913
Phone (502) 935-5633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000225825 | Other | KY | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37223 | KY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1497738546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 DIXIE HWY",
"address_2": "SUITE127",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402583913",
"telephone_number": "502-935-5633",
"fax_number": "502-935-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 DIXIE HWY",
"address_2": "SUITE127",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402583913",
"telephone_number": "502-935-5633",
"fax_number": "502-935-5706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESENSI",
"first_name": "KRISTA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "37223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000000225825",
"state": "KY"
}
],
"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 May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.