KASSANDRA FOX NP NPI 1124795505

NPI Information

NPI: 1124795505
Provider Name: KASSANDRA FOX, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2355 POPLAR LEVEL RD STE 405
LOUISVILLE, KY
ZIP 40217
Phone: (502) 636-7845
Get Directions

Kassandra Fox, NP is a family nurse practitioner in Louisville, KY with 3 years of experience. Kassandra Fox, NP NPI is 1124795505. 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:

2355 POPLAR LEVEL RD STE 405
LOUISVILLE, KY
ZIP 40217-389
Phone: (502) 636-7845
Fax: (502) 636-8045

The NPI 1124795505 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 8/24/2021 and was last updated on 8/4/2022.

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	363L00000X	Nurse Practitioner		3016577	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	3016577	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	300065078	MEDICAID	INDIANA
2	7100774260	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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