Active NPI
Mary Alane Sallee, APRN
- Family Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3012805
- Practice address
- 834 E Broadway
Louisville, KY 40204-1072 - Phone
- (502) 583-1981
- Fax
- (502) 996-8309
- NPI assigned
- Mar 19, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012805 | KY | Primary |
Addresses
Primary practice location
834 E Broadway
Louisville, KY 40204-1072
Mailing address
PO Box 950244
Louisville, KY 40295-0244
Phone (502) 953-4700
Other practice location 1
2215 Portland Ave
Louisville, KY 40212-1033
Phone (502) 774-8631
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@fhclouisville.org | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2215 Portland Ave
Louisville, KY 40212-1033
Phone (502) 774-8631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Past | Accepting new patients | |
| Family Health Centers, Inc. | Past | Accepting new patients | |
| Family Health Centers Inc | Past | Accepting new patients | |
| Family Health Centers, Inc. | Past | Accepting new patients | |
| Family Health Centers, Inc. | Past | Accepting new patients |
Locations
1000 Neighborhood Pl
Fairdale, KY 40118
Phone (502) 361-2381
712 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 568-6972
4805 Southside Dr
Louisville, KY 40214
Phone (502) 772-8860
4803 Southside Dr
Louisville, KY 40214
Phone (502) 363-8606
2215 Portland Ave
Louisville, KY 40212
Phone (502) 774-8631
4615 Taylor Blvd
Louisville, KY 40215
Phone (502) 366-4747
834 E Broadway
Louisville, KY 40204
Phone (502) 583-1981
2500 W Market St
Louisville, KY 40212
Phone (502) 778-0084
4100 Taylor Blvd
Louisville, KY 40215
Phone (502) 361-2381
Interoperability endpoints
- mary.sallee@fhci.eclinicaldirectplus.com
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.
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1649732603
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1104879469
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1134172489
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1205689064
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1205889540
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1578774477
-
- Federally Qualified Health Center (FQHC)
- Fairdale, KY
- NPI 1871546119
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1942954441
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1356394670
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1427574862
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1518963230
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1801662721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1043779895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950244",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950244",
"telephone_number": "502-953-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 E BROADWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402041072",
"telephone_number": "502-583-1981",
"fax_number": "502-996-8309"
}
],
"practiceLocations": [
{
"address_1": "2215 Portland Ave",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402121033",
"country_code": "US",
"telephone_number": "502-774-8631",
"fax_number": "502-996-8309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALLEE",
"first_name": "MARY",
"middle_name": "ALANE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3012805",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@fhclouisville.org",
"affiliation": "N",
"endpointDescription": "Employer",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2215 Portland Ave",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402121033",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.