2022 LLC
Organization Active NPI Family Nurse Practitioner · Louisville, KY
NPI 1821809153 · NPPES record last updated Oct 3, 2025
Key facts
- NPI
- 1821809153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- 2022 LLC
- Practice address
- 700 Gagel Ave
Louisville, KY 40216-4008 - Phone
- (502) 963-5516
- Fax
- (502) 963-5704
- NPI assigned
- Jan 16, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- 2022 LLC
Authorized official
- Name
- Xavier Giles
- Title
- Owner
- Phone
- (502) 384-0939
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 2
Practitioners 4
-
Sunni Aster, LCSW
-
Donna Marie Russell, LCSW
-
Tonjalia Laura Tyus, APRN FNP-C
National Provider Directory
- Tax ID family
- 2022 LLC
- Part of
- 2022 LLC
Locations
1229 Arcade Ave
Louisville, KY 40215
Phone (502) 384-0939
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes | ||
| Primary Care Nurse Practitioner |
363LP2300X |
Addresses
Primary practice location
700 Gagel Ave
Louisville, KY 40216-4008
Mailing address
4104 Smarty Jones Dr
Louisville, KY 40214-6530
Phone (502) 759-6281
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7101036390 | Medicaid | KY |
Other names
- Arch to Freedom Recovery Center
- DBA Arch Medical Center
Other providers in Louisville, KY
- 1St Priority Healthcare LLC
- 1St Step Recovery
- 1St Step Recovery #2
- 20-20 Eyecare PSC
- 2022 LLC
- 21St Century Oncology of Kentucky LLC
- 21St Century Oncology of Kentucky LLC
- 2Not1: Fatherhood & Families, Inc
- 2Women 2Hands 2Hearts
- 3 Brothers Transportation LLC
All providers in Louisville, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.