Organization Active NPI

Stimar Healthcare LLC

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1568070480
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
STIMAR HEALTHCARE LLC
Doing business as
Stimar Healthcare LLC
Practice address
2111 W Oak St
Louisville, KY 40210-1419
Phone
(502) 873-6296
NPI assigned
Jul 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Aiyesha Stiles, APRN
Title
Aprn
Phone
(502) 873-6296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2111 W Oak St
Louisville, KY 40210-1419

Mailing address

2111 W Oak St
Louisville, KY 40210-1419
Phone (502) 873-6296

Other names 1

  • Stimar Healthcare LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1568070480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 W OAK ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402101419",
            "telephone_number": "502-873-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 W OAK ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402101419",
            "telephone_number": "502-873-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STIMAR HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "AIYESHA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "502-873-6296",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stimar Healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 16, 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.