ELIZABETH SOPHIA DEITZ APRN NPI 1558977470

NPI Information

  • NPI: 1558977470
  • Provider Name: ELIZABETH SOPHIA DEITZ, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4123 DUTCHMANS LN STE 606
    LOUISVILLE, KY
    ZIP 40207
  • Phone: (502) 896-2500

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NPI Details

Elizabeth Sophia Deitz, APRN is a family nurse practitioner in Louisville, KY. Elizabeth Sophia Deitz, APRN NPI is 1558977470. 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:

4123 DUTCHMANS LN STE 606
LOUISVILLE, KY
ZIP 40207-725
Phone: (502) 896-2500
Fax: (502) 896-2527

The NPI 1558977470 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 9/16/2020 and was last updated on 1/31/2024.

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
1363LF0000XNurse PractitionerFamily3015081KENTUCKYYes

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
171010480AOTHERINDIANAINDIANA BOARD OF NURSING
23015081OTHERKENTUCKYKENTUCKY BOARD OF NURSING

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: 3/30/2025

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