ATHENA HEALTH AND WELLNESS PLLC NPI 1922492230

NPI Information

NPI: 1922492230
Provider Name: ATHENA HEALTH AND WELLNESS PLLC
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

CLIA Number: 18D2093430

Address:
1169 EASTERN PKWY STE 200
LOUISVILLE, KY
ZIP 40217
Phone: (502) 425-7659
Get Directions

ATHENA HEALTH AND WELLNESS PLLC is a women's health nurse practitioner in Louisville, KY. ATHENA HEALTH AND WELLNESS PLLC NPI is 1922492230. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1169 EASTERN PKWY STE 200
LOUISVILLE, KY
ZIP 40217-417
Phone: (502) 425-7659
Fax: (502) 425-7658

The provider's authorized official is Ashley D Anderson .
The authorized official title is Owner and has the following contact phone number (502) 425-7659.

The CLIA number assigned to this NPI record is 18D2093430 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/25/2015 and was last updated on 2/1/2022.

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	133V00000X	Dietitian, Registered		BDNDTN00218429	KENTUCKY	No
2	133V00000X	Dietitian, Registered		162884	KENTUCKY	No
3	363LA2200X	Nurse Practitioner	Adult Health	3005483	KENTUCKY	No
4	363LF0000X	Nurse Practitioner	Family			No
5	367A00000X	Advanced Practice Midwife				No
6	363LW0102X	Nurse Practitioner	Women's Health			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	50094140	OTHER	KENTUCKY	PASSPORT
2	000000932983	OTHER	KENTUCKY	ANTHEM
3	5679922	OTHER	KENTUCKY	AETNA
4	50086582	OTHER	KENTUCKY	PASSPORT
5	7100351080	MEDICAID	KENTUCKY

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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