2022 LLC NPI 1821809153

NPI Information

  • NPI: 1821809153
  • Provider Name: 2022 LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • :
  • Address: 700 GAGEL AVE
    LOUISVILLE, KY
    ZIP 40216
  • Phone: (502) 963-5516

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NPI Details

2022 LLC is a family nurse practitioner in Louisville, KY. 2022 LLC NPI is 1821809153. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

700 GAGEL AVE
LOUISVILLE, KY
ZIP 40216-008
Phone: (502) 963-5516
Fax: (502) 963-5704

The provider's authorized official is Xavier Giles .
The authorized official title is Owner and has the following contact phone number (502) 384-0939.

The enumeration date for this NPI number is 1/16/2025 and was last updated on 10/3/2025.

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
1363LP2300XNurse PractitionerPrimary CareNo
2363LF0000XNurse PractitionerFamilyYes

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
17101036390MEDICAIDKENTUCKY

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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