Marye Dillon PSC

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

Last updated

Jan 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marye B Dillon, ARNPNPI 1477579803

Title

Owner

Phone

(502) 836-9025

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marye B Dillon, NP

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1477579803
  Authorized official Same address or phone

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": []
}

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

• 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.