Organization Active NPI

Edumedics

  • Acute Care Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1710469994
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
EDUMEDICS
Practice address
201 E Jefferson St.
Ste 102
Louisville, KY 40202
Phone
(502) 569-1044
Fax
(502) 569-0309
NPI assigned
Sep 4, 2018
Last updated
Sep 4, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
EDUMEDICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Authorized official

Name
Ms. Auce Shade
Title
Ceo
Phone
(502) 569-1044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X Primary

Addresses

Primary practice location

201 E Jefferson St.
Ste 102
Louisville, KY 40202

Mailing address

201 E Jefferson St
Ste 102
Louisville, KY 40202
Phone (502) 569-1044

Other names 1

  • Edumedics - Kindred Other name

National Provider Directory

National Provider Directory
Part of
Edumedics LLC

Locations

201 E Jefferson St
Ste 102
Louisville, KY 40202
Phone (502) 569-1044

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1710469994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E JEFFERSON ST",
            "address_2": "STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-569-1044",
            "fax_number": "502-569-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E JEFFERSON ST.",
            "address_2": "STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-569-1044",
            "fax_number": "502-569-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUMEDICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDUMEDICS",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "SHADE",
        "authorized_official_first_name": "AUCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-569-1044",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edumedics - Kindred",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 4, 2018; 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.