Dermcare Practitioners, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

DERMCARE PRACTITIONERS, LLC

Practice address

1169 Eastern Pkwy Ste 431
Louisville, KY 40217-1435

Phone

(502) 361-3909

Fax

(502) 361-9229

NPI assigned

Aug 14, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Christy Quire Baker, APRNNPI 1780671651

Title

Owner

Phone

(502) 361-3909

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christy Quire Baker, FNP-BC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1780671651
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1629558291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 431",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171435",
            "telephone_number": "502-361-3909",
            "fax_number": "502-361-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 431",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171435",
            "telephone_number": "502-361-3909",
            "fax_number": "502-361-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMCARE PRACTITIONERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "QUIRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-361-3909",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkissel@arm-rcm.com",
            "affiliation": "N",
            "endpointDescription": "Employer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1700 Old Bluegrass Ave Ste 110",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402151163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmorris@arm-rcm.com",
            "affiliation": "N",
            "address_1": "1169 Eastern Pkwy Ste 431",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dermatology Associates , PSC
• Dermatology Specialists, PSC
• Dermatopathology Alliance of Kentucky PLLC
• Dermatopathology Consultants of Kentucky PLLC
• Dermatran Health Solutions
• John W Derr Jr., M. D.
• Ann M Derrick, APRN
• Shannon Metcalf Derrick, LPCC
• Jon Derringer
• Julie Marie Derringer

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.