Organization Active NPI

Abundant Health Family Care

  • Primary Care Clinic/Center
  • Louisville, KY
National Provider Identifier
1649955519
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ABUNDANT HEALTH FAMILY CARE
Practice address
2300 Hurstbourne Village Dr Ste 100
Louisville, KY 40299-1837
Phone
(502) 384-0931
Fax
(502) 384-0485
NPI assigned
Jun 19, 2023
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Brittany E Young, APRN FNPNPI 1225324296
Title
Aprn/Owner
Phone
(502) 384-0931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

2300 Hurstbourne Village Dr Ste 100
Louisville, KY 40299-1837

Mailing address

2300 Hurstbourne Village Dr Ste 100
Louisville, KY 40299-1837
Phone (502) 384-0931

Other names 2

  • Abundant Health Other name
  • Abundant Health Family Care INC. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240129002129 KY Part B Supplier - Clinic/Group Practice 2860845682 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2283300Abundant Health Famliy Care2300 Hurstbourne Village - Dr Ste 100, Louisville, KY 40299Certificate of waiverJun 5, 2027

National Provider Directory

National Provider Directory

Locations

2300 Hurstbourne Village Dr
Ste 100
Louisville, KY 40299
Phone (502) 384-0485

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1649955519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HURSTBOURNE VILLAGE DR STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991837",
            "telephone_number": "502-384-0931",
            "fax_number": "502-384-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HURSTBOURNE VILLAGE DR STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991837",
            "telephone_number": "502-384-0931",
            "fax_number": "502-384-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HEALTH FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "APRN/OWNER",
        "authorized_official_telephone_number": "502-384-0931",
        "authorized_official_credential": "APRN FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundant Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Abundant Health Family Care INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 28, 2024; 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.