Healthcare Provider Details

I. General information

NPI: 1013880889
Provider Name (Legal Business Name): KATAVIA APRIL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5314 BILLTOWN RD
LOUISVILLE KY
40299-1229
US

IV. Provider business mailing address

4111 BLUE LICK CT APT 7
LOUISVILLE KY
40229-5604
US

V. Phone/Fax

Practice location:
  • Phone: 206-671-9681
  • Fax:
Mailing address:
  • Phone: 206-671-9681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: