Active NPI
Bullitt County Health Department
- Public Health or Welfare Agency
- Shepherdsville, KY
National Provider Identifier
1811997661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- BULLITT COUNTY HEALTH DEPARTMENT
- Practice address
- 181 Lees Valley Rd
Shepherdsville, KY 40165-6143 - Phone
- (502) 955-7837
- Fax
- (502) 543-2998
- NPI assigned
- Jul 22, 2005
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Andrea D Renfrow, MSN, RN
- Title
- Public Health Director
- Phone
- (502) 955-6680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | KY | Primary |
Addresses
Primary practice location
181 Lees Valley Rd
Shepherdsville, KY 40165-6143
Mailing address
181 Lees Valley Rd
Shepherdsville, KY 40165-6143
Phone (502) 955-7837
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87212 | Other | KY | COVENTRY CARES OF KY |
| 1051411 | Other | PASSPORT HEALTH PLAN | |
| 15000037 | Other | KY | HANDS MEDICAID |
| 20015012 | Medicaid | KY | |
| 645482 | Other | KY | WELLCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D1083847 | Bullitt County Health Department | Certificate of waiver | Nov 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
181 Lees Valley Rd
Shepherdsvlle, KY 40165
Phone (502) 955-7837
Practitioners & affiliated clinicians
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.
-
- Obstetrics & Gynecology Nurse Practitioner
- Shepherdsville, KY
- NPI 1720050628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1811997661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 LEES VALLEY RD",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401656143",
"telephone_number": "502-955-7837",
"fax_number": "502-543-2998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 LEES VALLEY RD",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401656143",
"telephone_number": "502-955-7837",
"fax_number": "502-543-2998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BULLITT COUNTY HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-22",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "RENFROW",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
"authorized_official_telephone_number": "502-955-6680",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSN, RN"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY CARES OF KY",
"identifier": "87212",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT HEALTH PLAN",
"identifier": "1051411",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HANDS MEDICAID",
"identifier": "15000037",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20015012",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "645482",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shepherdsville, KY
- Bullitt County Board of Education
- Bullitt County Family Care Center, P.L.L.C.
- Bullitt County Family Care Center, PLLC
- Bullitt County Fiscal Court (Bullitt Co. EMS)
- Bullitt County Foot and Ankle Center
- Bullitt County Sleep Disordrs Lab
- Patrick J Burke, LCSW
- Emily Paige Burns
- Rebecca Marie Burress, PHARMD
- C K Dental, Inc. (North Bullitt Family Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.