COMMONWEALTH OF KENTUCKY (NPI# 1326467986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326467986 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF KENTUCKY |
| Other Organization Name | LEE SPECIALTY CLINIC |
| Practice Address |
4501 Louise Underwood Way Louisville KY 40216-3987 |
| Practice Telephone | 5023638421 |
| Mailing Telephone | 5023638421 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |
| Authorized Official Name | WENDY MORRIS (DEPUTY COMMISSIONER) |
| Authorized Official Telephone | 5025644527 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMONWEALTH OF KENTUCKY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lee Specialty Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043686900 | Commonwealth of Kentucky | Skilled Nursing Facility | 100 Veterans Drive, Radcliff, KY 40160 | 2015-08-14 |
| 1245657857 | Commonwealth of Kentucky | Clinic/Center | 2441 Us Highway 27, Somerset, KY 42501 | 2014-03-20 |
| 1730329897 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 400 Eastwood, 2441 S. Hwy 27, Somerset, KY 42501 | 2009-03-03 |
| 1588804546 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 400 Eastwood Dr, 2441 S. Hwy 27, Somersetq, KY 42501 | 2009-03-03 |
| 1770762833 | Commonwealth of Kentucky | Residential Treatment Facility, Physical Disabilities | 5659 Main St, Thelma, KY 41260-8609 | 2007-10-25 |
| 1396962551 | Commonwealth of Kentucky | Nursing Facility/Intermediate Care Facility | 200 Veterans Dr, Hazard, KY 41701-9484 | 2007-04-19 |
| 1124144456 | Commonwealth of Kentucky | Pharmacy | 2400 Russellville Road, Hopkinsville, KY 42240 | 2007-03-21 |
| 1194862599 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 23524 Dawson Springs Rd, Dawson Springs, KY 42408-9205 | 2007-02-01 |
| 1083785125 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 4401-4505 Louise Underwood Way, Louisville, KY 40216 | 2006-11-12 |
| 1689652513 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 210 Meadows Dr, Mt Washington, KY 40047-6013 | 2005-12-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMONWEALTH OF KENTUCKY - DEPARTMENT FOR LOCAL GOVERNMENT | 1024 Capital Center Dr Ste 340, Frankfort, KY 40601-7514 |
| Street Address |
4501 LOUISE UNDERWOOD WAY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40216-3987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245228774 | Henry David Hood | Dentist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2005-10-10 |
| 1386270692 | Yesha Banaji | Student in an Organized Health Care Education/Training Program | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2020-03-18 |
| 1619523610 | Gwendolyn Casper | Physical Therapist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2019-08-15 |
| 1275198574 | Cassandra Lynnette Moore | Occupational Therapist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2019-05-02 |
| 1457813487 | Richard Cattron | Dentist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2019-03-31 |
| 1255848529 | Terri Lykins | Dietitian, Registered | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2018-01-08 |
| 1417473885 | Hanzara Panol | Dentist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2017-08-17 |
| 1235652736 | Kari Vanzant | Speech-Language Pathologist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2017-07-18 |
| 1639601503 | Britni Robinson | Dentist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2017-03-30 |
| 1699124594 | Commonwealth of Kentucky | Speech-Language Pathologist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291813 | Austin Roush | Occupational Therapist | 4512 River Front Dr, Louisville, KY 40216 | 2019-08-20 |
| 1689226201 | A Better You Health Services, Pllc | Nurse Practitioner | 1719 Colony Court, Louisille, KY 40216 | 2019-07-13 |
| 1649765462 | Bbb of Ky, LLC | Dentist | 5225 Dixie Hwy, Louisville, KY 40216 | 2018-06-25 |
| 1154829521 | Farnsley Chiropractic, Pllc | Chiropractor | 3500 Dixie Highway, Louisville, KY 40216 | 2018-01-31 |
| 1114441110 | Ryan Michael Alpino | Optometrist | 4917 1/2 Dixie Hwy, Suite H, Louisville, KY 40216 | 2017-08-01 |
| 1528595873 | Kentucky Injury & Rehab LLC | Chiropractor | 5120 Dixie Hwy Suite 106, Louisville, KY 40216 | 2017-05-17 |
| 1326598533 | Nichelle Marshall | Nurse Practitioner | 4912 Dixie Highway, Louisville, KY 40216 | 2016-10-12 |
| 1891194833 | Denise Yvonne Payne | Dentist | 4115 Dixie Highway, Louisville, KY 40216 | 2014-08-15 |
| 1881031052 | Brian L. Tripp | Veterinarian | 2401 Dixie Highway, Louisville, KY 40216 | 2013-05-29 |
| 1134468028 | West Dixie Spine and Rehab Centers | Chiropractor | 5105 B Dixie Hwy, Louisville, KY 40216 | 2013-02-12 |
| Find all providers in zip 40216 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036210 | Emerge Rehab & Wellness,llc | Clinic/Center | 3501 Fenwick Park Pl Apt F, Louisville, KY 40220-5844 | 2020-02-25 |
| 1952940215 | Kentucky Center for Regenerative Medicine, LLC | Clinic/Center | 4010 Dupont Cir Ste 203, Louisville, KY 40207-4847 | 2020-01-03 |
| 1497227060 | Quality Urgent Care Professional Corporation | Clinic/Center | 1335 E South Boulder Rd Ste C, Louisville, CO 80027-2304 | 2018-12-20 |
| 1700313293 | Complete Laser Clinic of Louisville, LLC | Clinic/Center | 3000 Fern Valley Rd, Louisville, KY 40213-3522 | 2017-05-16 |
| 1356898373 | Baptist Health Employer Solutions, Inc | Clinic/Center | 2501 Nelson Miller Pkwy Ste 102, Louisville, KY 40223-2221 | 2016-09-07 |
| 1548877491 | Crossover Health Medical Group | Clinic/Center | 4813 Dixie Hwy, Louisville, KY 40216-2503 | 2020-09-24 |
| 1093341497 | Uofl Health-louisville Inc | Clinic/Center | 3920 Dutchmans Ln, Louisville, KY 40207-4020 | 2020-03-17 |
| 1144856543 | Uofl Health-louisville Inc | Clinic/Center | 2401 Terra Crossing Blvd, Louisville, KY 40245-5371 | 2020-03-17 |
| 1699308452 | Boulder Medical Center, P.C. | Clinic/Center | 80 Health Park Dr Ste 100, Louisville, CO 80027-4644 | 2020-02-19 |
| 1780101873 | Prorehab of Louisville LLC | Clinic/Center | 8019 Dixie Hwy Ste 106, Louisville, KY 40258-1303 | 2017-08-29 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40216 |
Please comment or provide details below to improve the information on COMMONWEALTH OF KENTUCKY.
| 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.