MEDICARE: WENDY KAY MCCARTY APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	3006249	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	9769702	OTHER	KY	CIGNA - NRP
3	109926	OTHER	KY	SIHO - NRP
4	000052152T	OTHER	KY	HUMANA - NRP
5	000000641811	OTHER	KY	ANTHEM - NRP
6	50026885	OTHER	KY	PASSPORT - NRP
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508195298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY KAY MCCARTY APRN

Provider Business Mailing Address
First Line	:	PO BOX 909
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40201-0909
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1707 CEDAR GROVE RD STE 15
Second Line	:
City	:	SHEPHERDSVILLE
State	:	KY
Zip	:	40165-8572
Country	:	US
Telephone Number	:	502-543-3246
Fax Number	:	502-543-3251

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2009
Last Update Date	:	08/04/2020

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Directions to “ WENDY KAY MCCARTY APRN” Practice Location

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