Active NPI
Marye Dillon PSC
- Family Nurse Practitioner
- Louisville, KY
National Provider Identifier
1639196397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3990
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryLocations
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.