Active NPI
Mobility Access Providers
- Customized Equipment (DME)
- Shepherdsville, KY
National Provider Identifier
1992714653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 019486
- Legal business name
- MOBILITY ACCESS PROVIDERS
- Practice address
- 264 Arnold Dr
Shepherdsville, KY 40165-6985 - Phone
- (502) 957-1003
- Fax
- (502) 957-1304
- NPI assigned
- Aug 5, 2006
- 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
- Mr. John Mack Weldon
- Title
- Cheif Executive Officer
- Phone
- (502) 957-1003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 019486 | KY | Primary |
Addresses
Primary practice location
264 Arnold Dr
Shepherdsville, KY 40165-6985
Mailing address
264 Arnold Dr
Shepherdsville, KY 40165-6985
Phone (502) 957-1003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90011883 | Medicaid | KY |
Other names 1
- M.A.P.
National Provider Directory
National Provider Directory- Tax ID family
- Map
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Lexington, KY
- NPI 1518011469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1992714653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 ARNOLD DR",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401656985",
"telephone_number": "502-957-1003",
"fax_number": "502-957-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 ARNOLD DR",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401656985",
"telephone_number": "502-957-1003",
"fax_number": "502-957-1304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILITY ACCESS PROVIDERS",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "WELDON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MACK",
"authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "502-957-1003",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "KY",
"license": "019486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90011883",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "M.A.P.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Shepherdsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.