INSTITUTE FOR INTEGRATIVE MEDICINE


Address: 540 Baxter Ave, Louisville, KY 40204-1154
Phone: 5027971904

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 540 BAXTER AVE
City LOUISVILLE
State KY
Zip Code 40204-1154

Providers in the same location

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

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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
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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
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City LOUISVILLE
Zip Code 40204

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Dataset Information

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.

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