Active NPI
Aimee Medders, RDH
- Dental Hygienist
- Fort Knox, KY
National Provider Identifier
1538675483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 4770
- Practice address
- 968 1St Infantry Division Rd BLDG 2724
Fort Knox, KY 40121-5210 - Phone
- (502) 626-8301
- NPI assigned
- Dec 14, 2017
- Last updated
- Dec 14, 2017
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 4770 | KY | Primary |
Addresses
Primary practice location
968 1St Infantry Division Rd BLDG 2724
Fort Knox, KY 40121-5210
Mailing address
398 192ND Armor Tank Battalion Rd RM 226
Fort Knox, KY 40121-5116
Phone (502) 624-6158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4770 | Other | KY | RDH LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4770 | KY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513209600000",
"number": "1538675483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "398 192ND ARMOR TANK BATTALION RD RM 226",
"city": "FORT KNOX",
"state": "KY",
"postal_code": "401215116",
"telephone_number": "502-624-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "968 1ST INFANTRY DIVISION RD BLDG 2724",
"city": "FORT KNOX",
"state": "KY",
"postal_code": "401215210",
"telephone_number": "502-626-8301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDDERS",
"first_name": "AIMEE",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-14",
"last_updated": "2017-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "KY",
"license": "4770",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RDH LICENSE",
"identifier": "4770",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Knox, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.