Organization Active NPI

The Special Lady, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
National Provider Identifier
1659402865
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE SPECIAL LADY, INC.
Practice address
4010 Dupont Cir
Suite L15
Louisville, KY 40207-4812
Phone
(502) 896-6975
Fax
(502) 896-2358
NPI assigned
Mar 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Carole Crawley Coogle
Title
President
Phone
(502) 896-6975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

4010 Dupont Cir
Suite L15
Louisville, KY 40207-4812

Mailing address

4010 Dupont Cir
Suite L15
Louisville, KY 40207-4812
Phone (502) 896-6975

Other identifiers 3

IdentifierTypeStateIssuer
1062770OtherKYPASSPORT
000000074796OtherKYANTHEM
90293564MedicaidKY

National Provider Directory

National Provider Directory

Locations

4010 DuPont Cir
Ste L15
Louisville, KY 40207
Phone (502) 896-6975

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659402865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR",
            "address_2": "SUITE L15",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074812",
            "telephone_number": "502-896-6975",
            "fax_number": "502-896-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR",
            "address_2": "SUITE L15",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074812",
            "telephone_number": "502-896-6975",
            "fax_number": "502-896-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPECIAL LADY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOGLE",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "CRAWLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-896-6975",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1062770",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000074796",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90293564",
            "state": "KY"
        }
    ],
    "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 Aug 22, 2020; 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.