Individual provider Active NPI

Sean F Martindale, APRN, FNP-C

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1003027228
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010370 Issued in KY
Practice address
800 Zorn Ave
Louisville, KY 40206-1433
Phone
(502) 287-5960
NPI assigned
May 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 1090199 KY
Family Nurse Practitioner 363LF0000X 28143085A IN
Family Nurse Practitioner 363LF0000X 3010370 KY Primary

Addresses

Primary practice location

800 Zorn Ave
Louisville, KY 40206-1433

Mailing address

800 Zorn Ave BLDG 24
Louisville, KY 40206-1433
Phone (502) 287-5960

Other identifiers 1

IdentifierTypeStateIssuer
7100424600MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160901000893 KY Practitioner - Nurse Practitioner 0941596860 Reassigns benefits to 2 organizations
Practice locations: Louisville, KY
I20161109000426 IN Practitioner - Nurse Practitioner 0941596860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1090199KYMDRegistered Nurse First Assistant
3010370KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers, Inc. CurrentSince Jul 26, 2021 Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
ENT Care Centers PLLC Nurse Practitioner CurrentSince Apr 1, 2022 Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. CurrentSince Jul 26, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Baptist Medical Associates Inc CurrentSince Sep 1, 2020 Accepting new patients

Locations

1405 Spring St
Jeffersonvlle, IN 47130
Phone (502) 894-8441

1000 Neighborhood Pl
Fairdale, KY 40118
Phone (502) 361-2381

6420 Dutchmans Pkwy
Ste 380
Louisville, KY 40205
Phone (502) 894-8441

712 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 568-6972

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

2215 Portland Ave
Louisville, KY 40212
Phone (502) 774-8631

4615 Taylor Blvd
Louisville, KY 40215
Phone (502) 366-4747

834 E Broadway
Louisville, KY 40204
Phone (502) 583-1981

4001 Kresge Way
Ste 210
Louisville, KY 40207
Phone (502) 895-1995

4100 Taylor Blvd
Louisville, KY 40215
Phone (502) 361-2381

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1003027228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ZORN AVE BLDG 24",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061433",
            "telephone_number": "502-287-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ZORN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061433",
            "telephone_number": "502-287-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINDALE",
        "first_name": "SEAN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "KY",
            "license": "1090199",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28143085A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100424600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.