Individual provider Active NPI

Qiyu Huang, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1619250131
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007138 Issued in KY
Practice address
1607 Dixie Hwy
Louisville, KY 40210-1745
Phone
(502) 772-1822
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007138 KY Primary
Family Nurse Practitioner 363LF0000X A130173 IA

Addresses

Primary practice location

1607 Dixie Hwy
Louisville, KY 40210-1745

Mailing address

4001 Saratoga Woods Dr
Louisville, KY 40299-4357
Phone (502) 290-8155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111123000047 KY Practitioner - Nurse Practitioner 4587838867 Reassigns benefits to 1 organization
I20160404000555 TX Practitioner - Nurse Practitioner 4587838867 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A130173IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kayenta Alternative Rural Hospital Current Accepting new patients
Pueblo Pintado Clinic CurrentSince Dec 30, 2019 Accepting new patients
Thoreau Clinic CurrentSince Dec 30, 2019 Accepting new patients
DHHS PHS Naihs Crownpoint Hospital Current Accepting new patients
Omak Tribal Health Clinic CurrentSince Apr 25, 2018 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Rosebud Indian Health Service CurrentSince Mar 8, 2016 Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Mar 4, 2017 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Sep 27, 2022 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Sep 27, 2022 Accepting new patients
DHHS IHS Colville Service Unit CurrentSince Apr 25, 2018 Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Mar 4, 2017 Accepting new patients
Rosebud Indian Health Service CurrentSince Mar 8, 2016 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1607 Dixie Hwy
Louisville, KY 40210
Phone (502) 772-1822

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

617 Benton St
Omak, WA 98841
Phone (509) 422-7416

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1619250131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 SARATOGA WOODS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402994357",
            "telephone_number": "502-290-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402101745",
            "telephone_number": "502-772-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "QIYU",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007138",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A130173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.