KASEY FAWBUSH FNP NPI 1295201770

NPI Information

NPI: 1295201770
Provider Name: KASEY FAWBUSH, FNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
6500 PRESTON HWY
LOUISVILLE, KY
ZIP 40219
Phone: (502) 893-5502
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Kasey Fawbush, FNP is a pediatrics nurse practitioner in Louisville, KY with 6 years of experience. Kasey Fawbush, FNP NPI is 1295201770. 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:

6500 PRESTON HWY
LOUISVILLE, KY
ZIP 40219-820
Phone: (502) 893-5502
Fax: (502) 721-8670

The NPI 1295201770 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 10/22/2018 and was last updated on 10/16/2020.

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		3012544	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	3012544	KENTUCKY	No
3	363LP0200X	Nurse Practitioner	Pediatrics	3012544	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	300033161	MEDICAID	INDIANA
2	7100562140	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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