INSTITUTE FOR INTEGRATIVE MEDICINE (NPI# 1104944784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104944784 |
Entity Type | Organization |
Organization Name | INSTITUTE FOR INTEGRATIVE MEDICINE |
Practice Address |
540 Baxter Ave Louisville KY 40204-1154 |
Mailing Address |
10703 Eagle Ridge Pl Louisville KY 40223-5590 |
Practice Telephone | 5027971904 |
Mailing Telephone | 5027971904 |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | KIMBERLEY ANN EVANS (CLINICAL NURSE SPECIALIST) |
Authorized Official Telephone | 5027971904 |
Authorized Official Credential | ARNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
Street Address |
540 BAXTER AVE |
City | LOUISVILLE |
State | KY |
Zip Code | 40204-1154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821096124 | Kimberley Ann Evans | Registered Nurse | 540 Baxter Ave, Louisville, KY 40204-1154 | 2005-07-11 |
1184263725 | Andrea Marie Preston | Counselor | 540 Baxter Ave, Louisville, KY 40204-1154 | 2019-12-30 |
1366922163 | Kathleen Vanessa Blades | Counselor | 540 Baxter Ave, Louisville, KY 40204-1154 | 2018-08-21 |
1649779752 | Erin Elizabeth Smith | Nurse Practitioner | 540 Baxter Ave, Louisville, KY 40204-1154 | 2018-02-04 |
1548713639 | Sarah Barber | Social Worker | 540 Baxter Ave, Louisville, KY 40204-1154 | 2016-07-26 |
1700139151 | Stephanie Batts | Counselor | 540 Baxter Ave, Louisville, KY 40204-1154 | 2012-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
1821317975 | Abby Fowler | Social Worker | 1357 Bardstown Rd, Louisville, KY 40204 | 2010-05-27 |
1033317441 | Katrina Laflesh | Counselor | 914 East Broadway, 3rd Floor, Louisville, KY 40204 | 2007-07-06 |
1770790891 | Richard Brooks | Counselor | 914 East Broadway 1st, Louisville, KY 40204 | 2007-05-17 |
1447302922 | Walden Chiropractic Psc | Chiropractor | 1072 Bardstown Road, Louisville, KY 40204 | 2007-01-17 |
1053485938 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1023 E Broadway, Louisville, KY 40204 | 2006-11-20 |
1710072137 | Sandra L. Payne | Dentist | John P Rakutt Dmd Psc, 801 Barret Avenue #107, Louisville, KY 40204 | 2006-10-03 |
1013017482 | Bonnie L Varisco | Social Worker | 914 E. Broadway, 2nd, Louisville, KY 40204 | 2006-09-25 |
1902854334 | Kevin B Spicer | Pediatrics | 834 E Broadway, Louisville, KY 40204 | 2006-05-05 |
1992777213 | Donna Maclain Stewart | Pathology | Office of The Chief Medical Examiner;urban Government C, 810 Barret Ave, Louisville, KY 40204 | 2006-02-02 |
Find all providers in zip 40204 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003325879 | Occupational Health Centers of Sw Pa | Clinic/Center | 10401 Linn Station Rd Ste 110, Louisville, KY 40223-3842 | 2017-09-25 |
1548623846 | Frank Harrell Md Pa | Clinic/Center | 312 S 4th St, Suite 700, Louisville, KY 40202-3021 | 2016-04-04 |
1154701761 | The Empire Usa Inc | Clinic/Center | 10300 Linn Station Rd, Suite 400, Louisville, KY 40223-3840 | 2015-06-09 |
1902225717 | P.t Health Center Inc. | Clinic/Center | 4814 Preston Hwy Ste 40, Louisville, KY 40213-2263 | 2014-04-08 |
1073936746 | Best Clinical Facility Inc | Clinic/Center | 3415 Bardstown Rd Ste 202, Louisville, KY 40218-4605 | 2014-01-30 |
1386067247 | Do Medical Consulting | Clinic/Center | 3415 Bardstown Rd Ste 200, Louisville, KY 40218-4605 | 2014-01-29 |
1841612041 | Pa Professional Center Inc | Clinic/Center | 4229 Bardstown Rd Ste 411, Louisville, KY 40218-3241 | 2014-01-08 |
1437587987 | Healthy Life Center Inc | Clinic/Center | 4229 Bardstown Rd Ste 320, Louisville, KY 40218-3281 | 2013-10-18 |
1609113406 | Cardinal Wellness Center | Clinic/Center | 7136 Preston Hwy, Louisville, KY 40219-2722 | 2013-01-14 |
1346505781 | Compassionate Care Center | Clinic/Center | 1124 Dillon Rd Ste 1, Louisville, CO 80027-1290 | 2012-07-11 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40204 |
Please comment or provide details below to improve the information on INSTITUTE FOR INTEGRATIVE MEDICINE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.