Individual provider Active NPI

Glenda Renee Phillips, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1013417435
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009615 Issued in KY
Practice address
4003 Kresge Way Ste 300
Louisville, KY 40207-4652
Phone
(502) 897-5139
Fax
(502) 896-6218
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009615 KY Primary

Addresses

Primary practice location

4003 Kresge Way Ste 300
Louisville, KY 40207-4652

Mailing address

1901 Campus PL
Louisville, KY 40299-2308
Phone (502) 253-4924

Other practice location 1

101 E Main St
Louisville, KY 40202-1349
Phone (502) 262-8956

Other practice location 2

1919 State St Ste 200
New Albany, IN 47150-6804
Phone (812) 981-8701

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
I20181119001477 KY Practitioner - Nurse Practitioner 1153675772 Reassigns benefits to 1 organization
I20220914000620 IN Practitioner - Nurse Practitioner 1153675772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

4003 Kresge Way
Suite 300
Louisville, KY 40207-4652
Phone (502) 897-5139

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009615KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 28, 2025 Accepting new patients
Baptist Medical Associates Inc CurrentSince Jan 28, 2025 Accepting new patients
Samuel, Stewart & Associates, PSC CurrentSince Aug 15, 2022 Accepting new patients
Oak Street Health Physicians Group of South Carolina, LLC Family PastSince Aug 16, 2021 Accepting new patients

Locations

141 Quartermaster Ct
Jeffersonvlle, IN 47130

1919 State St
Ste 200
New Albany, IN 47150
Phone (502) 897-5139

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

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

4003 Kresge Way
Ste 300
St Matthews, KY 40207
Phone (502) 893-7710

Interoperability endpoints

  • Direct secure messaging: glenda.phillipscrnp.p3@direct.cvr.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1013417435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CAMPUS PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992308",
            "telephone_number": "502-253-4924",
            "fax_number": "502-489-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 KRESGE WAY STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074652",
            "telephone_number": "502-897-5139",
            "fax_number": "502-896-6218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Main St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021349",
            "country_code": "US",
            "telephone_number": "502-262-8956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 State St Ste 200",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471506804",
            "country_code": "US",
            "telephone_number": "812-981-8701",
            "fax_number": "812-981-8703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GLENDA",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.