Individual provider Active NPI

Kimberly S Doan, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1023344975
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3006384 Issued in KY
Practice address
4915 Norton Healthcare Blvd Ste 202
Louisville, KY 40241-2861
Phone
(502) 891-8300
NPI assigned
Oct 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2009006807 KY
Nurse Practitioner 363L00000X 3006384 KY Primary

Addresses

Primary practice location

4915 Norton Healthcare Blvd Ste 202
Louisville, KY 40241-2861

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

3900 Kresge Way Ste 60
Louisville, KY 40207-4690
Phone (502) 893-7710

Other practice location 2

200 E Chestnut St
Suite 303
Louisville, KY 40202-1831
Phone (502) 629-5552

Other identifiers 6

IdentifierTypeStateIssuer
170502OtherKYSIHO
7100113610MedicaidKY
000000652647OtherKYANTHEM
000000912348OtherKYANTHEM-NIS
50082145OtherKYPASSPORT
200981270MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kdoan79355@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100511000360 KY Practitioner - Nurse Practitioner 8820126998 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

6420 Dutchmans Pkwy
Suite 200
Louisville, KY 40205-3373
Phone (502) 891-8300

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.05 of 100Reported as group
Quality
62.8
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009006807KYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 13, 2020 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Apr 13, 2020 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Feb 1, 2015 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2012 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Dec 4, 2015 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Feb 1, 2015 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2012 Accepting new patients
Heartland Diagnostics, LLC Acute Care Past Accepting new patients
Heartland Diagnostics, LLC Acute Care Past Accepting new patients
Heartland Diagnostics, LLC Acute Care Past Accepting new patients

Locations (25 of 41)

7752 Solution Ctr
Chicago, IL 60677

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

2410 Ring Rd
Ste 500
Elizabethtown, KY 42701
Phone (270) 765-5900

279 Kings Daughters Dr
Ste 204
Frankfort, KY 40601
Phone (502) 875-9885

207 Fairgrounds Rd
Hardinsburg, KY 40143
Phone (270) 580-2256

312 W High St
Lebanon, KY 40033
Phone (270) 692-0110

325 W Walnut St
Lebanon, KY 40033
Phone (270) 699-9500

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

912 Wallace Ave
Ste 104
Leitchfield, KY 42754
Phone (270) 287-0001

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

3 Audubon Plaza Dr
Ste 110
Louisville, KY 40217
Phone (502) 367-8121

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

550 S Jackson St
Fl 3
Louisville, KY 40202
Phone (502) 561-8850

601 S Floyd St
Ste 500
Louisville, KY 40202
Phone (502) 458-6089

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617

4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000

4123 Dutchmans Ln
Ste 301
Louisville, KY 40207
Phone (502) 896-2500

170 Dr Arla Way
Ste 101
Louisville, KY 40229
Phone (502) 888-1988

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

3999 Dutchmans Ln
Ste 1H
Louisville, KY 40207
Phone (502) 636-7472

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

4420 Dixie Hwy
Ste 118
Louisville, KY 40216
Phone (502) 447-3448

2401 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 210-4200

Organizations & group practices 12

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1023344975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 NORTON HEALTHCARE BLVD STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412861",
            "telephone_number": "502-891-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Kresge Way Ste 60",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074690",
            "country_code": "US",
            "telephone_number": "502-893-7710",
            "fax_number": "502-893-1391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E Chestnut St",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021831",
            "country_code": "US",
            "telephone_number": "502-629-5552",
            "fax_number": "502-629-3132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOAN",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "2009006807",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "170502",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100113610",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000652647",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-NIS",
            "identifier": "000000912348",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50082145",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200981270",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdoan79355@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "200 E Chestnut St",
            "address_2": "Suite 303",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "200 E Chestnut St",
            "address_2": "Suite 303",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.