RECOVERYALISTIC CORPORATION
NPI 1184446643
Nurse Practitioner - Family in Louisville, KY

Active since October 28, 2024CLIA 18D2300916 · Waiver
813 S 40TH ST, LOUISVILLE, KY 40211(502) 608-4471 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Recoveryalistic Corporation NPPES

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

RECOVERYALISTIC CORPORATION (NPI 1184446643) is a healthcare organization registered as a family in Louisville, Kentucky and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Tonjalia L Tyus, Owner, as its authorized official.

NPPES Registry Identity

NPI1184446643
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRECOVERYALISTIC CORPORATION
Location Address813 S 40TH STLouisville, KY 40211-2837
Mailing Address813 S 40th StLouisville, KY 40211-2837 · (502) 608-4471 · Fax (502) 290-0579
Organization SubpartNo
Authorized OfficialTonjalia L TyusOwner · (502) 608-4471
Enumeration DateOctober 28, 2024
Last NPPES UpdateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
NPI 1184446643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
813 S 40TH ST, Louisville, KY 40211

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

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 Waiver 18D2300916

Recoveryalistic Corporation · Louisville, KY
Active · expires Mar 18, 2028
CLIA Number18D2300916
Laboratory TypeAlcohol And Drug Entity
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorMs. Tonjalia Tyus
Laboratory Phone(502) 608-4471
Laboratory LocationRecoveryalistic Corporation3934 Dixie Highway, Suite 440, Louisville, KY 40216
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
813 S 40TH ST
LOUISVILLE, KY 40211
Nurse Practitioner (Family)
813 S 40TH ST
LOUISVILLE, KY 40211

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 Recoveryalistic Corporation's NPI number?

The NPI number for Recoveryalistic Corporation is 1184446643. It was assigned to this organization in the NPPES registry on October 28, 2024.

Where is Recoveryalistic Corporation located?

Recoveryalistic Corporation is located at 813 S 40th St, Louisville, KY 40211. The listed phone number is (502) 608-4471.

What is Recoveryalistic Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Recoveryalistic Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2300916) is associated with this NPI, valid through March 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Recoveryalistic Corporation was last updated on December 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.