BETH DEYOUNG APRN NPI 1104275031

NPI Information

  • NPI: 1104275031
  • Provider Name: BETH DEYOUNG, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1169 EASTERN PKWY STE 2211
    LOUISVILLE, KY
    ZIP 40217
  • Phone: (502) 635-2775

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NPI Details

Beth Deyoung, APRN is a family nurse practitioner in Louisville, KY with 9 years of experience. Beth Deyoung, APRN NPI is 1104275031. 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:

1169 EASTERN PKWY STE 2211
LOUISVILLE, KY
ZIP 40217-444
Phone: (502) 635-2775
Fax: (502) 371-0475

The NPI 1104275031 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 6/10/2016 and was last updated on 7/10/2024.

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
1163WR0006XRegistered NurseRegistered Nurse First Assistant28163941AINDIANANo
2363LF0000XNurse PractitionerFamily3010700KENTUCKYYes
3163WR0006XRegistered NurseRegistered Nurse First Assistant1133702KENTUCKYNo
4363LP0808XNurse PractitionerPsychiatric/Mental Health3010700KENTUCKYNo

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: 11/21/2025

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