Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Commonwealth of Kentucky

Organization Family Nurse Practitioner · NPI 1184547416

Commonwealth of Kentucky is a Family Nurse Practitioner in Louisville, Kentucky. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

10510 La Grange Rd
Louisville, KY 40223-1228
Phone: (502) 253-7000
Fax: (502) 253-7049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1184547416
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mathew Gayheart — Finance Director · (502) 253-7135
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address10510 La Grange Rd, Louisville, KY 40223-1228

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