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COMMONWEALTH FAMILY CARE PLLC NPI 1386001196


NPI Information

NPI: 1386001196
Provider Name: COMMONWEALTH FAMILY CARE PLLC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
7410 NEW LA GRANGE RD
SUITE 125
LOUISVILLE, KY
ZIP 40222
Phone: (502) 742-0460
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COMMONWEALTH FAMILY CARE PLLC is a nurse practitioner in Louisville, KY. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. COMMONWEALTH FAMILY CARE PLLC NPI is 1386001196. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7410 NEW LA GRANGE RD
SUITE 125
LOUISVILLE, KY
ZIP 40222-871
Phone: (502) 742-0460
Fax: (502) 742-9340

The provider's authorized official is Laura Kelly White .
The authorized official title is President and has the following contact phone number (502) 403-0007.

The enumeration date for this NPI number is 1/25/2016 and was last updated on 12/15/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner3002841KENTUCKYYes
2363LF0000XNurse PractitionerFamily3006986KENTUCKYNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K019233MEDICARE PINKENTUCKY

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

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