Active NPI
Deborah Lynn Bloyd, NURSE PRACTITIONER
- Women's Health Nurse Practitioner
- Louisville, KY
National Provider Identifier
1841278959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 2517P
- Practice address
- 401 E Chestnut St
Suite 410
Louisville, KY 40202-5700 - Phone
- (502) 271-5999
- NPI assigned
- Jan 9, 2006
- Last updated
- Sep 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 2517P | KY | Primary |
Addresses
Primary practice location
401 E Chestnut St
Suite 410
Louisville, KY 40202-5700
Mailing address
550 S Jackson St Dept OB
2ND Floor
Louisville, KY 40202-1622
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000351403 | Other | KY | ANTHEM PSC LOCATION |
| 50004862 | Other | KY | PASSPORT SPECIALITY-PSC LOCATION |
| 50012922 | Other | KY | PASSPORT-SPECIALTY FOUNDATION LOCATION |
| 50012926 | Other | KY | PASSPORT-PCP FOUNDATION LOCATION |
| 78025178 | Medicaid | KY | |
| 000000542935 | Other | KY | ANTHEM FOUNDATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2517P | KY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba ULP Radiological Associates
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1841278959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S JACKSON ST DEPT OB",
"address_2": "2ND FLOOR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E CHESTNUT ST",
"address_2": "SUITE 410",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402025700",
"telephone_number": "502-271-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOYD",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "KY",
"license": "2517P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PSC LOCATION",
"identifier": "000000351403",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT SPECIALITY-PSC LOCATION",
"identifier": "50004862",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT-SPECIALTY FOUNDATION LOCATION",
"identifier": "50012922",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT-PCP FOUNDATION LOCATION",
"identifier": "50012926",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78025178",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM FOUNDATION",
"identifier": "000000542935",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 29, 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.