CHARLES ZACHARY WILBERT APRN NPI 1518610724

NPI Information

NPI: 1518610724
Provider Name: CHARLES ZACHARY WILBERT, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
8442 DIXIE HWY
LOUISVILLE, KY
ZIP 40258
Phone: (502) 638-4280
Get Directions

Charles Zachary Wilbert, APRN is a family nurse practitioner in Louisville, KY with 3 years of experience. Charles Zachary Wilbert, APRN NPI is 1518610724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2021

The provider's business location address is:

8442 DIXIE HWY
LOUISVILLE, KY
ZIP 40258-140
Phone: (502) 638-4280
Fax: (502) 638-4281

The NPI 1518610724 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 1/28/2022 and was last updated on 3/2/2022.

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	163W00000X	Registered Nurse		1129505	KENTUCKY	No
2	363L00000X	Nurse Practitioner		1129505	KENTUCKY	No
3	363LF0000X	Nurse Practitioner	Family	3017489	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	3017489	OTHER	KENTUCKY	LICENSE NUMBER

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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