JANE BEDERMAN ARNP NPI 1912982059

NPI Information

  • NPI: 1912982059
  • Provider Name: JANE BEDERMAN, ARNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 615 S PRESTON ST
    LOUISVILLE, KY
    ZIP 40202
  • Phone: (502) 852-5757

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NPI Details

Jane Bederman, ARNP is an adult health nurse practitioner in Louisville, KY. Jane Bederman, ARNP NPI is 1912982059. 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:

615 S PRESTON ST
LOUISVILLE, KY
ZIP 40202-715
Phone: (502) 852-5757
Fax: (502) 852-7643

The NPI 1912982059 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2005 and was last updated on 5/3/2016.

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
1163WN0300XRegistered NurseNephrology3003138KENTUCKYNo
2363LA2200XNurse PractitionerAdult Health3003138KENTUCKYYes

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
178006848MEDICAIDKENTUCKY
2K043940OTHERKENTUCKYMEDICARE

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

NPI Synchronization or Removal

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