Organization Active NPI

Marye Dillon PSC

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1639196397
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3990 Issued in KY
Legal business name
MARYE DILLON PSC
Practice address
2103 Strathmoor Blvd
Louisville, KY 40205-2529
Phone
(502) 836-9025
Fax
(502) 458-1337
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Ms. Marye B Dillon, ARNP
Title
Owner
Phone
(502) 836-9025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 3990 KY Primary

Addresses

Primary practice location

2103 Strathmoor Blvd
Louisville, KY 40205-2529

Mailing address

2103 Strathmoor Blvd
Louisville, KY 40205-2529
Phone (502) 836-9025

National Provider Directory

National Provider Directory

Locations

3950 Kresge Way
Saint Matthews, KY 40207
Phone (502) 893-7372

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1639196397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 STRATHMOOR BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052529",
            "telephone_number": "502-836-9025",
            "fax_number": "502-458-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 STRATHMOOR BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052529",
            "telephone_number": "502-836-9025",
            "fax_number": "502-458-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYE DILLON PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "MARYE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-836-9025",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3990",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 3, 2014; 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.