Active NPI
Kathrine Conliffe, D.O.
- Pediatrics Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 03688
- Practice address
- 506 Executive Park
Louisville, KY 40207-4205 - Phone
- (502) 822-6603
- Fax
- (502) 747-7071
- NPI assigned
- Jun 16, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 03688 | KY | Primary |
Addresses
Primary practice location
506 Executive Park
Louisville, KY 40207-4205
Mailing address
506 Executive Park
Louisville, KY 40207-4205
Phone (502) 822-6603
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300050353 | Medicaid | IN | |
| 7100317450 | Medicaid | KY |
Other names 1
- Kathrine Krantz
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
506 Executive Park
Louisville, KY 40207-4205
Phone (502) 822-6603
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03688 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Musculoskeletal Associates PLLC | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Pediatrics | Current | Accepting new patients |
Locations
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
4010 DuPont Cir
Ste 283
Louisville, KY 40207
Phone (502) 897-1727
506 Executive Park
Louisville, KY 40207
Phone (502) 213-3807
Interoperability endpoints
- kconliffe76750@direct.nortonhealthcare.org
Organizations & group practices 5
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Louisville, KY
- NPI 1477900629
-
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
-
- Neuromusculoskeletal Medicine & OMM Physician
- Louisville, KY
- NPI 1275473142
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Louisville, KY
- NPI 1487292033
-
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1053606103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 EXECUTIVE PARK",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074205",
"telephone_number": "502-822-6603",
"fax_number": "502-747-7071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 EXECUTIVE PARK",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074205",
"telephone_number": "502-822-6603",
"fax_number": "502-747-7071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLIFFE",
"first_name": "KATHRINE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-16",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "03688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300050353",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100317450",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRINE",
"last_name": "KRANTZ",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
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 May 13, 2025; 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.