Active NPI
Eastpoint Recovery PLLC
- Addiction Medicine (Psychiatry & Neurology) Physician
- Louisville, KY
National Provider Identifier
1992267223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- Legal business name
- EASTPOINT RECOVERY PLLC
- Practice address
- 13113 Eastpoint Park Blvd Ste C
Louisville, KY 40223-4191 - Phone
- (502) 245-7258
- Fax
- (502) 489-5552
- NPI assigned
- Apr 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Donna L Clemens
- Title
- Credentialing Coordinator
- Phone
- (502) 489-4302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | Primary |
Addresses
Primary practice location
13113 Eastpoint Park Blvd Ste C
Louisville, KY 40223-4191
Mailing address
13113 Eastpoint Park Blvd Ste C
Louisville, KY 40223-4191
Phone (502) 245-7258
National Provider Directory
National Provider DirectoryLocations
13113 Eastpoint Park Blvd
Ste C
Louisville, KY 40223
Phone (502) 245-7258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554336000000",
"number": "1992267223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13113 EASTPOINT PARK BLVD STE C",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234191",
"telephone_number": "502-245-7258",
"fax_number": "502-489-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13113 EASTPOINT PARK BLVD STE C",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234191",
"telephone_number": "502-245-7258",
"fax_number": "502-489-5552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTPOINT RECOVERY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-04",
"last_updated": "2019-04-04",
"status": "A",
"authorized_official_last_name": "CLEMENS",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "502-489-4302",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"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 Apr 4, 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.