MARY BIDDLE EASLEY ARNP NPI 1497947485

NPI Information

NPI: 1497947485
Provider Name: MARY BIDDLE EASLEY, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
9880 ANGIES WAY
SUITE 110
LOUISVILLE, KY
ZIP 40241
Phone: (502) 446-6160
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Mary Biddle Easley, ARNP is a family nurse practitioner in Louisville, KY with 19 years of experience. Mary Biddle Easley, ARNP NPI is 1497947485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

9880 ANGIES WAY
SUITE 110
LOUISVILLE, KY
ZIP 40241-851
Phone: (502) 446-6160
Fax: (502) 446-6161

The NPI 1497947485 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 8/14/2007 and was last updated on 10/14/2020.

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	363LF0000X	Nurse Practitioner	Family	5341P	KENTUCKY	Yes
2	363LF0000X	Nurse Practitioner	Family	444425	KENTUCKY	No

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	3704052000	OTHER	KENTUCKY	PASSPORT ADVANTAGE- CARDIOTHORACIC SURGERY OF LOUISVILLE
2	000023035Z	OTHER	KENTUCKY	HUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE
3	00533114	OTHER	KENTUCKY	MEDICARE- CARDIOTHORACIC SURGERY OF LOUISVILLE
4	200921910	OTHER	KENTUCKY	MD WISE- CARDIOTHORACIC SURGERY OF LOUISVILLE
5	50023119	OTHER	KENTUCKY	PASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE
6	102761	OTHER	KENTUCKY	SIHO- CARDIOTHORACIC SURGERY OF LOUISVILLE
7	200921910	OTHER	KENTUCKY	MANAGED HEALTH SERVICES- CARDIOTHORACIC SURGERY OF LOUISVILLE
8	7100067770	OTHER	KENTUCKY	MEDICAID KY- CARDIOTHORACIC SURGERY OF LOUISVILLE
9	200921910	OTHER	KENTUCKY	ANTHEM INDIANA MEDICAID
10	200921910	MEDICAID	INDIANA
11	000000605378	OTHER	KENTUCKY	ANTHEM- CARDIOTHORACIC SURGERY

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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