Organization Active NPI

Louisville Area Pediatrics PSC

  • Pediatrics Physician
  • Louisville, KY
National Provider Identifier
1851424808
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LOUISVILLE AREA PEDIATRICS PSC
Practice address
10002 Shelbyville Rd
Sutie 110
Louisville, KY 40223-2979
Phone
(502) 245-6446
Fax
(502) 254-2198
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Laura B. Lanning
Title
Credentialing
Phone
(502) 245-6446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

10002 Shelbyville Rd
Sutie 110
Louisville, KY 40223-2979

Mailing address

10002 Shelbyville Rd
Sutie 110
Louisville, KY 40223-2979
Phone (502) 245-6446

National Provider Directory

National Provider Directory

Locations

10002 Shelbyville Rd
Ste 110
Louisville, KY 40223
Phone (502) 245-4020

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851424808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10002 SHELBYVILLE RD",
            "address_2": "SUTIE 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232979",
            "telephone_number": "502-245-6446",
            "fax_number": "502-254-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10002 SHELBYVILLE RD",
            "address_2": "SUTIE 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232979",
            "telephone_number": "502-245-6446",
            "fax_number": "502-254-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE AREA PEDIATRICS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANNING",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "502-245-6446"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.