CHARLES AUSTIN PERRY APRN NPI 1770858656

NPI Information

NPI: 1770858656
Provider Name: CHARLES AUSTIN PERRY, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
210 E GRAY ST
SUITE 1105
LOUISVILLE, KY
ZIP 40202
Phone: (502) 583-1697
Get Directions

Charles Austin Perry, APRN is a family nurse practitioner in Louisville, KY. Charles Austin Perry, APRN NPI is 1770858656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

210 E GRAY ST
SUITE 1105
LOUISVILLE, KY
ZIP 40202-900
Phone: (502) 583-1697
Fax: (502) 583-2120

The NPI 1770858656 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 3/12/2012 and was last updated on 1/21/2021.

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	363LF0000X	Nurse Practitioner	Family	3007332	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	134996	OTHER	KENTUCKY	SIHO - NNIKY
2	000000764051	OTHER	KENTUCKY	ANTHEM - NNIKY
3	201067550	MEDICAID	INDIANA
4	50038650	OTHER	KENTUCKY	PASSPORT - NNIKY
5	7100201270	MEDICAID	KENTUCKY

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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