Healthcare Provider Details

I. General information

NPI: 1396186086
Provider Name (Legal Business Name): CHRISTY T ELLIOTT-COX APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2013
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 N CLIFTON AVE STE 7
LOUISVILLE KY
40206-2438
US

IV. Provider business mailing address

3044 BARDSTOWN RD # 287
LOUISVILLE KY
40205-3020
US

V. Phone/Fax

Practice location:
  • Phone: 502-749-3894
  • Fax: 502-749-2873
Mailing address:
  • Phone: 502-749-3894
  • Fax: 502-749-2873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3008172
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3008172
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: