Primary Express Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PRIMARY EXPRESS CARE LLC

Practice address

5908 Preston Hwy
Louisville, KY 40219-1316

Phone

(502) 290-5871

NPI assigned

Aug 2, 2023

Last updated

Aug 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trace Kelly, FNP-CNPI 1629296603

Title

Owner/Clinical Director

Phone

(502) 415-3943

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Trace Kelly, FNP-C, DC

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1629296603
  Authorized official Same address or phone

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1700568433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WILDWOOD LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232851",
            "telephone_number": "502-415-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402191316",
            "telephone_number": "502-290-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY EXPRESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "TRACE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "502-415-3943",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Priest Wiseman, CRNA
• Cameron Priest
• Kimberly Priest
• Derek Priester
• Primary Express Care and Wellness LLC
• Primary Injury Consulting, LLC
• Prime Consultants, PLLC
• Prime Time Physical Therapy PLLC
• Prime Urgent Care PSC
• Primehealth of Kentucky LLC

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.