MARIETTA E ENRIQUEZ M.D.
NPI 1124099353
Pediatrics in Louisville, KY

Q: What is Marietta Enriquez's NPI number?

The NPI number for Marietta Enriquez is 1124099353. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Q: What is Marietta Enriquez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Marietta Enriquez was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 27, 2006

3015 WILSON AVE, LOUISVILLE, KY 40211(502) 774-4401 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2019, Jun 20, 2018 (2 updates tracked since 2018).

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About Marietta E Enriquez M.d. NPPES

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

MARIETTA E ENRIQUEZ M.D. (NPI 1124099353) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (22441) and active in the NPI registry since January 2006. She maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1124099353

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARIETTA E ENRIQUEZCredential: M.D.

Location Address3015 WILSON AVELouisville, KY 40211-1969

Mailing Address3015 Wilson AveLouisville, KY 40211-1969 · (502) 774-4401 · Fax (502) 772-8983

Phone(502) 774-4401

Sole ProprietorNo

Enumeration DateJanuary 27, 2006

Last NPPES UpdateJune 19, 20192 updates tracked since enumeration

✔ NPI 1124099353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in KY · 22441

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3015 WILSON AVE, Louisville, KY 40211

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Secondary Practice Location 1

Location 1305 W Broadway, Suite 104Louisville, KY 40202-2129 · Phone (502) 585-2924 ext. 116 · Fax (502) 585-2931

Other Identifiers 2

OtherK215580KY · Medicare

Medicaid64224413KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

NIKEEA BULLOCK APRN

Nurse Practitioner (Psychiatric/Mental Health)