ANISSA HARGIS PA-C NPI 1467450858

NPI Information

  • NPI: 1467450858
  • Provider Name: ANISSA HARGIS, PA-C
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • Address: 301 C MIDDLETON PARK PL
    LOUISVILLE, KY
    ZIP 40243
  • Phone: (502) 244-9858

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NPI Details

Anissa Hargis, PA-C is an adolescent medicine pediatrics in Louisville, KY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Anissa Hargis, PA-C NPI is 1467450858. 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:

301 C MIDDLETON PARK PL
LOUISVILLE, KY
ZIP 40243
Phone: (502) 244-9858
Fax: (502) 244-9575

The enumeration date for this NPI number is 7/11/2005 and was last updated on 6/11/2009.

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
1363AM0700XPhysician AssistantMedicalPA 353KENTUCKYNo
22080A0000XPediatricsAdolescent MedicinePA353KENTUCKYYes

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
10789302MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
2000000246339OTHERKENTUCKYANTHEM
3789302MEDICARE PIN
4Q00916MEDICARE UPINKENTUCKY

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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