Individual provider Active NPI

Rebecca P Pirkle, C GNP

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1831140771
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2639P Issued in KY
Practice address
215 Central Station
102
Louisville, KY 40208
Phone
(502) 852-7449
Fax
(502) 852-1423
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2639P KY Primary

Addresses

Primary practice location

215 Central Station
102
Louisville, KY 40208

Mailing address

501 E Broadway
Suite 120
Louisville, KY 40202
Phone (502) 562-6810

Other identifiers 1

IdentifierTypeStateIssuer
78005980MedicaidKY

Other names 1

  • Hartly Grimes Pamplin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2639PKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Practice Assoc. PSC Past Accepting new patients
University of Louisville Research Foundation Past Accepting new patients
University Physicians Group - Radiology Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1831140771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E BROADWAY",
            "address_2": "SUITE 120",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-562-6810",
            "fax_number": "502-562-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CENTRAL STATION",
            "address_2": "102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40208",
            "telephone_number": "502-852-7449",
            "fax_number": "502-852-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRKLE",
        "first_name": "REBECCA",
        "middle_name": "P",
        "credential": "C GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "2639P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78005980",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARTLY GRIMES",
            "last_name": "PAMPLIN",
            "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 Jan 11, 2008; 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.