MICHELE MCCLURE APRN NPI 1538672373

NPI Information

NPI: 1538672373
Provider Name: MICHELE MCCLURE, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
120 EXECUTIVE PARK
LOUISVILLE, KY
ZIP 40207
Phone: (502) 855-7200
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Michele Mcclure, APRN is an adult health nurse practitioner in Louisville, KY with 7 years of experience. Michele Mcclure, APRN NPI is 1538672373. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 EXECUTIVE PARK
LOUISVILLE, KY
ZIP 40207-201
Phone: (502) 855-7200
Fax: (502) 855-7201

The NPI 1538672373 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2017 and was last updated on 6/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	71007764A	INDIANA	No
2	363LA2200X	Nurse Practitioner	Adult Health	3012101	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1594354	OTHER	KENTUCKY	WELLCARE OF KY PROVIDER ID NUMBER
2	CS1823600597	OTHER		CARESOURCE PROVIDER ID NUMBER
3	000001171736	OTHER		ANTHEM PROVIDER ID NUMBER
4	7100533270	MEDICAID	KENTUCKY
5	PDZ000000076638	OTHER		AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
6	14216057	OTHER		CAQH PROVIDER ID
7	6570412	OTHER		AETNA PROVIDER ID NUMBER
8	300013667	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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