Active NPI
Carmel J Saunders
- Psychiatric/Mental Health Nurse Practitioner
- Bowling Green, KY
National Provider Identifier
1023997285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4049247
- Practice address
- 1143 Fairway St Ste 103
Bowling Green, KY 42103-2452 - Phone
- (812) 901-6881
- NPI assigned
- Aug 30, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 4049247 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4049247 | KY | Primary |
Addresses
Primary practice location
1143 Fairway St Ste 103
Bowling Green, KY 42103-2452
Mailing address
1405 Browns LN
Louisville, KY 40207-4608
Phone (502) 249-4487
Other practice location 1
302 E Breckinridge St
Louisville, KY 40203-2328
Phone (502) 561-1112
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 |
|---|---|---|---|---|
| I20260417000033 | KY | Practitioner - Nurse Practitioner | 1456827443 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1143 Fairway St
Suite 103
Bowling Green, KY 42103-2429
302 E Breckinridge St
Louisville, KY 40203-2328
415 Camp St
Louisville, KY 40203-2632
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4049247 | KY | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cradle Resilience Behavioral Health | Psychiatric/Mental Health | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Louisville, KY
- NPI 1790633469
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1023997285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 BROWNS LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074608",
"telephone_number": "502-249-4487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1143 FAIRWAY ST STE 103",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421032452",
"telephone_number": "812-901-6881"
}
],
"practiceLocations": [
{
"address_1": "302 E Breckinridge St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402032328",
"country_code": "US",
"telephone_number": "502-561-1112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAUNDERS",
"first_name": "CARMEL",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-30",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "KY",
"license": "4049247",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "4049247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.