Organization Active NPI

Kentuckiana Regional Planning and Development Agency

  • Supports Brokerage Agency
  • Louisville, KY
National Provider Identifier
1770611683
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
KENTUCKIANA REGIONAL PLANNING AND DEVELOPMENT AGENCY
Practice address
11520 Commonwealth Dr
Louisville, KY 40299-2340
Phone
(502) 266-6084
Fax
(502) 266-5047
NPI assigned
Mar 1, 2007
Last updated
Nov 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Mr. Jack L Scriber
Title
Executive Director
Phone
(502) 266-6084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X NU Primary

Addresses

Primary practice location

11520 Commonwealth Dr
Louisville, KY 40299-2340

Mailing address

11520 Commonwealth Dr
Louisville, KY 40299-2340
Phone (502) 266-6084

Other identifiers 1

IdentifierTypeStateIssuer
17000761MedicaidKY

Other names 1

  • KIPDA Other name

National Provider Directory

National Provider Directory
Tax ID family
Kentuckiana Regional Planning and Development Agency3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11520 Commonwealth Dr
Louisville, KY 40299
Phone (502) 266-6084

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1770611683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 COMMONWEALTH DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992340",
            "telephone_number": "502-266-6084",
            "fax_number": "502-266-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 COMMONWEALTH DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992340",
            "telephone_number": "502-266-6084",
            "fax_number": "502-266-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANA REGIONAL PLANNING AND DEVELOPMENT AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "SCRIBER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-266-6084",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17000761",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIPDA",
            "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 Nov 5, 2014; 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.