Individual provider Active NPI

Emily Michelle Anguiano, NNP-BC

  • Critical Care Neonatal Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1710523634
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
3014094 Issued in KY
Practice address
4123 Dutchmans LN Ste 301
Louisville, KY 40207-4721
Phone
(502) 896-2500
NPI assigned
Nov 26, 2019
Last updated
Feb 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X 3014094 KY Primary

Addresses

Primary practice location

4123 Dutchmans LN Ste 301
Louisville, KY 40207-4721

Mailing address

4123 Dutchmans LN Ste 301
Louisville, KY 40207-4721
Phone (502) 896-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200327002362 KY Practitioner - Nurse Practitioner 3274962188 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC Neonatal, Critical Care CurrentSince Mar 1, 2020 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Norton Childrens Medical Group, LLC Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

720 2nd Ave
Ste 102
Bowling Green, KY 42101
Phone (502) 583-1697

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

4123 Dutchmans Ln
Ste 301
Louisville, KY 40207
Phone (502) 896-2500

4123 Dutchmans Ln
Ste 606
Louisville, KY 40207
Phone (502) 896-2500

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

1000 Breckenridge St
Ste 301
Owensboro, KY 42303
Phone (270) 852-8894

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

2605 Kentucky Ave
Ste 102
Paducah, KY 42003
Phone (270) 415-8965

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

Interoperability endpoints

  • Direct secure messaging: emenard178051@direct.nortonhealthcare.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1710523634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 DUTCHMANS LN STE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074721",
            "telephone_number": "502-896-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 DUTCHMANS LN STE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074721",
            "telephone_number": "502-896-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGUIANO",
        "first_name": "EMILY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "NNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "KY",
            "license": "3014094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.