Organization Active NPI

Interlocking Hearts Healthcare - Primary and Express Care

  • Primary Care Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1982360483
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE
Practice address
3438 Taylor Blvd
Louisville, KY 40215-2648
Phone
(502) 365-2340
Fax
(502) 365-3063
NPI assigned
Nov 10, 2021
Last updated
Nov 10, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Omega Savage, APRN
Title
Owner/Provider
Phone
(502) 821-0652

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Primary Care Nurse Practitioner 363LP2300X Primary

Addresses

Primary practice location

3438 Taylor Blvd
Louisville, KY 40215-2648

Mailing address

3438 Taylor Blvd
Louisville, KY 40215-2648
Phone (502) 365-2340

Other identifiers 2

IdentifierTypeStateIssuer
K297070OtherKYMEDICARE
7100595360MedicaidKY

National Provider Directory

National Provider Directory
Part of
Interlocking Hearts Healthcare - Primary and Express Care

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1982360483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 TAYLOR BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152648",
            "telephone_number": "502-365-2340",
            "fax_number": "502-365-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 TAYLOR BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152648",
            "telephone_number": "502-365-2340",
            "fax_number": "502-365-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERLOCKING HEARTS HEALTHCARE - PRIMARY AND EXPRESS CARE",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "OMEGA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "502-821-0652",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K297070",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100595360",
            "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 Nov 10, 2021; 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.