Vivian Lee Rakestraw
Nurse Practitioner - Family
215 Central Ave Ste 100, Louisville
Kentucky, 40208-1450
502-852-2822
Vivian Lee Rakestraw is a Louisville, Kentucky based nurse practitioner who is specialized as Family nurse. Active license number of Vivian Lee Rakestraw is 4778P for Family in Kentucky. Her current practice location is 215 Central Ave Ste 100, Louisville. Patients can reach her at 502-852-2822 or can fax her at 502-852-2819 with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1316975063.
Vivian Lee Rakestraw delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Vivian Lee Rakestraw speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Vivian Lee Rakestraw |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Practice Address: | 215 Central Ave Ste 100, Louisville,
Kentucky, 40208-1450 |
| Phone: | 502-852-2822 |
| Fax: | 502-852-2819 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1316975063 |
| NPI Enumeration Date: | 30 Jun, 2006 |
| NPI Last Update On: | 17 Aug, 2010 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vivian Lee Rakestraw are as mentioned below.
| License Number | Specialization | State | Status | |
| 4778P | Family | Kentucky | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Vivian Lee Rakestraw such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200981170 | Medicaid | Indiana | |
| 4778P | Other | Kentucky | ARNP LICENSE |
| 1025939 | Other | Kentucky | RN LICENSE |
| 7100021840 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Vivian Lee Rakestraw
501 E Broadway, Suite 290
Louisville, Kentucky |
| Zip: | 40202-1785 |
| Phone Number: | 502-217-8221 |
| Fax Number: | 502-217-5056 |
Patients can reach Vivian Lee Rakestraw at
215 Central Ave Ste 100, Louisville, Kentucky or can
call to book an appointment on 502-852-2822.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.