Provider Demographics
NPI:1780863167
Name:MOREHEAD, AMY MICHELLE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MICHELLE
Last Name:MOREHEAD
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:100 E LIBERTY ST
Mailing Address - Street 2:SUITE 800
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1434
Mailing Address - Country:US
Mailing Address - Phone:502-633-3525
Mailing Address - Fax:502-633-8075
Practice Address - Street 1:515 HOSPITAL DR
Practice Address - Street 2:SUITE 1
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-1640
Practice Address - Country:US
Practice Address - Phone:502-633-3525
Practice Address - Fax:502-633-8075
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2022-06-24
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Provider Licenses
StateLicense IDTaxonomies
KY3005380363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000544867OtherANTHEM
KY7100065610Medicaid
KYP00471814Medicare PIN
KY00546035Medicare Oscar/Certification