Individual provider Active NPI

Kelsea Creason, PA

  • Pediatrics Physician
  • Shepherdsville, KY
National Provider Identifier
1023669728
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
TC875 Issued in KY
Practice address
6302 Highway 44 E
Shepherdsville, KY 40165-6816
Phone
(502) 215-6300
NPI assigned
Sep 24, 2019
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X TC875 KY Primary

Addresses

Primary practice location

6302 Highway 44 E
Shepherdsville, KY 40165-6816

Mailing address

6302 Highway 44 E
Shepherdsville, KY 40165-6816
Phone (502) 215-6300

Other identifiers 1

IdentifierTypeStateIssuer
TC875OtherKYTEMPORARY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TC875KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All Children Pediatrics Holdings, PLLC Multi-Specialty Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1023669728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 HIGHWAY 44 E",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656816",
            "telephone_number": "502-215-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 HIGHWAY 44 E",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656816",
            "telephone_number": "502-215-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREASON",
        "first_name": "KELSEA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "TC875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY LICENSE",
            "identifier": "TC875",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.