DAVID JONATHON WILLOUGHBY LPN
NPI 1104684398
Licensed Practical Nurse in Louisville, KY

Active since March 12, 2024
4922 POPLAR LEVEL RD, LOUISVILLE, KY 40219(502) 434-5566 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Jonathon Willoughby Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID JONATHON WILLOUGHBY LPN (NPI 1104684398) is an individual licensed practical nurse in Louisville, Kentucky, licensed in Kentucky (2049631) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1104684398
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameDAVID JONATHON WILLOUGHBYCredential: LPN
Location Address4922 POPLAR LEVEL RDLouisville, KY 40219-1128
Mailing Address30 Carroll AveEminence, KY 40019-1300 · (502) 706-8643
Sole ProprietorYes
Enumeration DateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
NPI 1104684398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in KY · 2049631
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4922 POPLAR LEVEL RD, Louisville, KY 40219

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219
Licensed Practical Nurse
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219
Counselor (Addiction (Substance Use Disorder))
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219
Counselor (Addiction (Substance Use Disorder))
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219
Counselor (Addiction (Substance Use Disorder))
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219
Licensed Practical Nurse
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219
Clinic/Center (Rehabilitation, Substance Use Disorder)
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219
Licensed Practical Nurse
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Willoughby's NPI number?

The NPI number for David Willoughby is 1104684398. It was assigned to this individual provider in the NPPES registry on March 12, 2024.

Where is David Willoughby located?

David Willoughby practices at 4922 Poplar Level Rd, Louisville, KY 40219. The listed phone number is (502) 434-5566.

What is David Willoughby's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for David Willoughby was last updated on March 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.