Sara Bennett, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Louisville, KY
NPI 1043861735 · NPPES record last updated Apr 3, 2026
Key facts
- NPI
- 1043861735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 3015783 (KY)
- Practice address
- 1169 Eastern Pkwy Ste 2313
Louisville, KY 40217-1444 - Phone
- (502) 406-8133
- Fax
- (812) 282-4316
- NPI assigned
- Sep 24, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201223002275 | KY | Practitioner - Nurse Practitioner | 3577995513 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3015783 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axial Clinic in PC | Current |
Accepting new patients | |
| Axial Clinic in PC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
1401 Harrodsburg Rd
Ste A530
Lexington, KY 40504
Phone (502) 406-8133
3901 Dutchmans Ln
Ste 105
Louisville, KY 40207
Phone (502) 895-2334
1169 Eastern Pkwy
Ste 2313
Louisville, KY 40217
Phone (502) 309-9800
209 10th Ave S
Ste 350
Nashville, TN 37203
Phone (615) 345-3555
Interoperability endpoints
- sara.bennett.2@24435.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3015783 | KY | Yes |
Addresses
Primary practice location
1169 Eastern Pkwy Ste 2313
Louisville, KY 40217-1444
Mailing address
209 10TH Ave S Ste 350
Nashville, TN 37203-4166
Phone (615) 345-3555
Other providers in Louisville, KY
- Jesslyn Bennett
- Johnathan Lucas Bennett
- Johnna Bennett
- Laura Bennett
- Laura Bennett
- Sherie Bennett
- Stacy Lynn Bennett
- Tina Clinton Bennett
- Christina K Benninger
- Thomas W Benninger
All providers in Louisville, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.