Body Shape Medical

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

3009403 Issued in KY

Legal business name

BODY SHAPE MEDICAL

Practice address

4211 Springhurst Blvd
Louisville, KY 40241-6161

Phone

(502) 638-4906

NPI assigned

Jun 16, 2015

Last updated

Jun 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Bates, MD

Title

Medical Director

Phone

(502) 638-4906

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Redmon, APRN

  • Family Nurse Practitioner
  • Shepherdsville, KY
  • NPI 1619359387
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1902287832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 SPRINGHURST BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416161",
            "telephone_number": "502-638-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 SPRINGHURST BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416161",
            "telephone_number": "502-638-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY SHAPE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "502-638-4906",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "KY",
            "license": "3009403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Allen Bodi, COTA/L
• Laura B Bodinet, LCSW
• Rachel Marie Bodnar, SLP
• Haylee Bodner, RBT
• Body Balance Chiropractic & Rehab
• Amanda Denise Body, LCSW
• Bodylinks Physical Therapy (BodyLinks Integrated Therapies)
• Ursula Boehnert, MS.CCC/SLP
• Josie Boerner
• Alan John Boeschel

• Health Maintenance Organization in Louisville, KY
• Providers in Louisville, KY by specialty
• Health Maintenance Organization in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.