MACY KATE PETRISKE MD
NPI 1740120906
Student in an Organized Health Care Education/Training Program in Louisville, KY

Q: What is Macy Petriske's NPI number?

The NPI number for Macy Petriske is 1740120906. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Q: What is Macy Petriske's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Macy Petriske was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 30, 2026

530 S JACKSON ST, LOUISVILLE, KY 40202(502) 852-5689 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Macy Kate Petriske Md NPPES

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

MACY KATE PETRISKE MD (NPI 1740120906) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1740120906

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMACY KATE PETRISKECredential: MD

Location Address530 S JACKSON STLouisville, KY 40202-1675

Mailing Address530 S Jackson StLouisville, KY 40202-1675

Phone(502) 852-5689

Sole ProprietorNo

Enumeration DateMarch 30, 2026

NPPES CertifiedMarch 30, 2026

✔ NPI 1740120906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

530 S JACKSON ST, Louisville, KY 40202

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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.

KARI BETH CHRISTIE MD

Anesthesiology