Active NPI
Doris Ann Hancock, ARNP
- Adult Health Nurse Practitioner
- Louisville, KY
National Provider Identifier
1871558148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 3002359
- Practice address
- 6400 Dutchmans Pkwy Ste 345
Louisville, KY 40205-3370 - Phone
- (502) 587-6010
- Fax
- (502) 587-1314
- NPI assigned
- Apr 19, 2006
- Last updated
- Oct 18, 2019
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 3002359 | KY | Primary |
Addresses
Primary practice location
6400 Dutchmans Pkwy Ste 345
Louisville, KY 40205-3370
Mailing address
100 E Liberty St
Suite 800
Louisville, KY 40202-1434
Phone (502) 587-6010
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500012887 | Other | KY | RAILROAD MEDICARE |
| K159260-KOHMG | Other | KY | MEDICARE PIN |
| 200251120 | Medicaid | IN | |
| 78003266 | Medicaid | KY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1871558148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LIBERTY ST",
"address_2": "SUITE 800",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021434",
"telephone_number": "502-587-6010",
"fax_number": "502-587-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 DUTCHMANS PKWY STE 345",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053370",
"telephone_number": "502-587-6010",
"fax_number": "502-587-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "DORIS",
"middle_name": "ANN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KY",
"license": "3002359",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "500012887",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "K159260-KOHMG",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200251120",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78003266",
"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 Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.