Organization Active NPI

Eastpoint Recovery PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Louisville, KY
National Provider Identifier
1992267223
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
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

Updated by the provider on Apr 4, 2019

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)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.