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RESTORATIVE PAIN INSTITUTE
NPI 1174322309
Nurse Practitioner in Louisville, KY

Active since March 11, 2025CLIA 18D2287100 · Certificate of Compliance
4201 SPRINGHURST BLVD STE 102, LOUISVILLE, KY 40241(502) 515-6090 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Restorative Pain Institute NPPES

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

RESTORATIVE PAIN INSTITUTE (NPI 1174322309) is a healthcare organization registered as a nurse practitioner in Louisville, Kentucky and active in the NPI registry since March 2025. The organization holds a CLIA Certificate of Compliance certificate valid through June 10, 2028 and lists Timothy James Beacham, Owner, as its authorized official.

NPPES Registry Identity

NPI1174322309
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameRESTORATIVE PAIN INSTITUTE
Location Address4201 SPRINGHURST BLVD STE 102Louisville, KY 40241-6156
Mailing Address4201 Springhurst Blvd Ste 102Louisville, KY 40241-6156
Phone(502) 515-6090
Organization SubpartNo
Authorized OfficialTimothy James BeachamOwner · (502) 515-4901
Enumeration DateMarch 11, 2025
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1174322309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4201 SPRINGHURST BLVD STE 102, Louisville, KY 40241
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 18D2287100

Restorative Pain Institute · Louisville, KY
Active · expires Jun 10, 2028
CLIA Number18D2287100
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorDr. Kryder Van Buskirk
Laboratory Phone(502) 515-6090
Laboratory LocationRestorative Pain Institute4201 Springhurst Blvd, Ste 102, Louisville, KY 40241
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

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

RESTORATIVE PAIN INSTITUTE
Physician Assistant
4201 SPRINGHURST BLVD STE 102
LOUISVILLE, KY 40241
Jefferson County (502) 515-6090
JENNIFER WALTERS PA-C
Physician Assistant
4201 SPRINGHURST BLVD STE 102
LOUISVILLE, KY 40241
Jefferson County (025) 156-0905
TIMOTHY BEACHAM MD
Anesthesiology (Pain Medicine)
4201 SPRINGHURST BLVD STE 102
LOUISVILLE, KY 40241
Jefferson County (502) 352-2530
EMILY ROSE PIERCE MSN, APRN, FNP-C
Nurse Practitioner (Family)
4201 SPRINGHURST BLVD STE 102
LOUISVILLE, KY 40241
Jefferson County (502) 515-6090
RESTORATIVE PAIN INSTITUTE
Pain Medicine (Interventional Pain Medicine)
4201 SPRINGHURST BLVD STE 102
LOUISVILLE, KY 40241
Jefferson County (502) 515-6090
DR. SARAH DENTINGER MERRICK M.D.
Internal Medicine
4201 SPRINGHURST BLVD STE 102
LOUISVILLE, KY 40241
Jefferson County (502) 930-6880
DANY RODRIGUEZ GONZALEZ APRN
Nurse Practitioner (Family)
4201 SPRINGHURST BLVD STE 102
LOUISVILLE, KY 40241
Jefferson County (502) 515-6090
ANNE NOELLE POWELL
Nurse Practitioner (Family)
4201 SPRINGHURST BLVD STE 102
LOUISVILLE, KY 40241
Jefferson County (502) 515-6090

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 Restorative Pain Institute's NPI number?

The NPI number for Restorative Pain Institute is 1174322309. It was assigned to this organization in the NPPES registry on March 11, 2025.

Where is Restorative Pain Institute located?

Restorative Pain Institute is located at 4201 Springhurst Blvd Ste 102, Louisville, KY 40241. The listed phone number is (502) 515-6090.

What is Restorative Pain Institute's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Restorative Pain Institute hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 18D2287100) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Restorative Pain Institute accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Restorative Pain Institute as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Restorative Pain Institute was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.