MEDICARE: CATHERINE JOY MESSINGER 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	363LA2100X	Acute Care Nurse Practitioner	A095827	IA
2	363LC1500X	Community Health Nurse Practitioner	A095827	IA
3	363LF0000X	Family Nurse Practitioner	3003300	KY
4	363LF0000X	Family Nurse Practitioner	A095827	IA
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2019052474	KY
6	363L00000X	Nurse Practitioner	30033000	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811957350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE JOY MESSINGER APRN

Provider Business Mailing Address
First Line	:	2700 STANLEY GAULT PKWY # STTE129
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5132
Country	:	US
Telephone Number	:	502-253-4900
Fax Number	:	502-489-5751

Provider Business Practice Location Address
First Line	:	789 EASTERN BYP STE 23
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-2421
Country	:	US
Telephone Number	:	859-544-8171
Fax Number	:	859-544-8197

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

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	12/04/2020

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