Organization Active NPI

Acutebridge Telemed

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1689406761
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ACUTEBRIDGE TELEMED
Practice address
3903 Vantage PL
Louisville, KY 40299-6801
Phone
(502) 396-7176
Fax
(888) 232-1268
NPI assigned
Aug 16, 2024
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Kimberly Cashion, NPNPI 1396749156
Title
Partner
Phone
(502) 396-7176

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

3903 Vantage PL
Louisville, KY 40299-6801

Mailing address

3903 Vantage PL
Louisville, KY 40299-6801
Phone (502) 396-7176

Other practice location 1

2101 Broadway St
Clarksville, IN 47129-7800
Phone (502) 396-7176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240920000994 KY Part B Supplier - Clinic/Group Practice 9638610462 Receives reassigned benefits from 3 practitioners
Practice locations: Louisville, KY
O20241126003637 IN Part B Supplier - Clinic/Group Practice 9638610462 Receives reassigned benefits from 3 practitioners
Practice locations: Clarksville, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1689406761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 VANTAGE PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996801",
            "telephone_number": "502-396-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 VANTAGE PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996801",
            "telephone_number": "502-396-7176",
            "fax_number": "888-232-1268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "IN",
            "postal_code": "471297800",
            "country_code": "US",
            "telephone_number": "502-396-7176",
            "fax_number": "888-232-1268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACUTEBRIDGE TELEMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "CASHION",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "502-396-7176",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "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 Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.