Organization Active NPI

HMPS Internal Medicine of West Louisville PLLC

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1689280216
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HMPS INTERNAL MEDICINE OF WEST LOUISVILLE PLLC
Practice address
927 W Main St
Louisville, KY 40202-2621
Phone
(502) 618-4298
NPI assigned
Sep 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Jennifer A Haynes, APRNNPI 1730696451
Title
Aprn
Phone
(502) 548-7791

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

927 W Main St
Louisville, KY 40202-2621

Mailing address

927 W Main St
Louisville, KY 40202-2621
Phone (502) 618-4298

Other practice location 1

2730 Brownsboro Rd Apt 164
Louisville, KY 40206-1268
Phone (502) 548-7791

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
18D2226619HMPS Internal Medicine of West Louisville927 W Main Street, Louisville, KY 40202Certificate of waiverJun 1, 2027

National Provider Directory

National Provider Directory

Locations

927 W Main St
Louisville, KY 40202
Phone (502) 641-6695

2215 Portland Ave
Ste 801
Louisville, KY 40212

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1689280216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022621",
            "telephone_number": "502-618-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022621",
            "telephone_number": "502-618-4298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2730 Brownsboro Rd Apt 164",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402061268",
            "country_code": "US",
            "telephone_number": "502-548-7791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HMPS INTERNAL MEDICINE OF WEST LOUISVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "502-548-7791",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.