NPIMap

Organization Active NPI

At Your Door Mobile Medical PLLC

  • Nurse Practitioner
  • Shepherdsville, KY
National Provider Identifier
1699117226
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3004234 Issued in KY
Legal business name
AT YOUR DOOR MOBILE MEDICAL PLLC
Practice address
340 Chapeze LN
Shepherdsville, KY 40165-8893
Phone
(502) 921-2963
Fax
(502) 921-2963
NPI assigned
Jul 24, 2013
Last updated
Jul 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Mrs. Emily Anne Bailey
Title
Member Manager
Phone
(502) 921-2963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3004234 KY Primary

Addresses

Primary practice location

340 Chapeze LN
Shepherdsville, KY 40165-8893

Mailing address

340 Chapeze LN
Shepherdsville, KY 40165-8893
Phone (502) 921-2963

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1699117226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 CHAPEZE LN",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401658893",
            "telephone_number": "502-921-2963",
            "fax_number": "502-921-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 CHAPEZE LN",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401658893",
            "telephone_number": "502-921-2963",
            "fax_number": "502-921-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT YOUR DOOR MOBILE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "502-921-2963",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3004234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.