Individual provider Active NPI

Mary Alane Sallee, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1043779895
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012805 Issued in KY
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

Updated by the provider on Apr 21, 2021

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190426001681 KY Practitioner - Nurse Practitioner 0446592257 Reassigns benefits to 1 organization

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
Family Health Centers IncGroup PAC ID 6901700053, 51 clinicians

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

OrganizationSpecialtyStatusNew patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. CurrentSince Apr 22, 2019 Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. CurrentSince Apr 22, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.