Active NPI
Christa Gant, NP-C
- Family Nurse Practitioner
- Jeffersontown, KY
National Provider Identifier
1013316934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3008980
- Practice address
- 10823 Bluegrass Pkwy
Jeffersontown, KY 40299-2215 - Phone
- (502) 901-1136
- Fax
- (502) 237-6820
- NPI assigned
- Aug 15, 2014
- Last updated
- Sep 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71005060A | IN | |
| Family Nurse Practitioner | 363LF0000X | 3008980 | KY | Primary |
Addresses
Primary practice location
10823 Bluegrass Pkwy
Jeffersontown, KY 40299-2215
Mailing address
10823 Bluegrass Pkwy
Jeffersontown, KY 40299-2215
Phone (502) 901-1136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201253430 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241012000366 | KY | Order and Referring Only - Nurse Practitioner | 0749401834 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71005060A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strong Roots Health Center | Family | Current | Accepting new patients |
Locations
10823 Bluegrass Pkwy
Jeffersontown, KY 40299
Phone (502) 901-1136
Interoperability endpoints
- https://api.platform.athenahealth.com/24215/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Jeffersontown, KY
- NPI 1891461703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1013316934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10823 BLUEGRASS PKWY",
"city": "JEFFERSONTOWN",
"state": "KY",
"postal_code": "402992215",
"telephone_number": "502-901-1136",
"fax_number": "502-237-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10823 BLUEGRASS PKWY",
"city": "JEFFERSONTOWN",
"state": "KY",
"postal_code": "402992215",
"telephone_number": "502-901-1136",
"fax_number": "502-237-6820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANT",
"first_name": "CHRISTA",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-15",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71005060A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3008980",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201253430",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersontown, KY
- D&R Pharmaceutical Services, L.L.C. (Med Care Pharmacy #48530)
- Drosera Inc Hume Pharmacy
- Joseph Edelen, PT, DPT
- Callie Ernspiker
- Eyemart Family Vision Care Inc (Eye Mart)
- Amy Michelle Highfill, MSN, APRN, FNP-C
- Dana Elizabeth Hughes, APRN-FNP
- Luke Collin Jankowski, DPT
- Jeffersontown Chiropractic Center
- Jeffersontown Chiropractic PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.