NPIMap

Individual provider Active NPI

Kathryn B Overberg, APRN

  • Adult Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1053737973
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3008565 Issued in KY
Practice address
9510 Ormsby Station Rd Ste 100
Louisville, KY 40223-4082
Phone
(502) 327-9100
NPI assigned
Mar 17, 2014
Last updated
Oct 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3008565 KY Primary

Addresses

Primary practice location

9510 Ormsby Station Rd Ste 100
Louisville, KY 40223-4082

Mailing address

PO Box 122
300 Sandridge Rd East
Waco, KY 40385-0122
Phone (716) 467-1104

Other practice location 1

801 Eastern Byp
Richmond, KY 40475-2751
Phone (859) 625-3603

Other identifiers 2

IdentifierTypeStateIssuer
12678456OtherCAQH
7100311950MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140425000648 KY Practitioner - Nurse Practitioner 5890928915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Versailles Family Medicine, PLLCGroup PAC ID 2668576927, 8 clinicians

Practice addresses (Care Compare)

300 Sand Ridge Rd
Waco, KY 40385-9754
Phone (859) 302-6132

460 Wilson Ave
Versailles, KY 40383-1947
Phone (859) 879-0111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aprn Ky PLLC Adult Health CurrentSince Aug 30, 2025 Accepting new patients
Versailles Family Medicine, PLLC Adult Health CurrentSince Sep 22, 2022 Accepting new patients
Icats Management Integrated Care and Transition Services LLC PastSince Nov 18, 2013 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHBAED/Endpoint/CHBAED
  • FHIR API: https://fhir4.healow.com/fhir/r4/FHBDAA
  • Direct secure messaging: kathryn.overberg@vfmky.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1053737973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "address_2": "300 SANDRIDGE RD EAST",
            "city": "WACO",
            "state": "KY",
            "postal_code": "403850122",
            "telephone_number": "716-467-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234082",
            "telephone_number": "502-327-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Eastern Byp",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752751",
            "country_code": "US",
            "telephone_number": "859-625-3603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVERBERG",
        "first_name": "KATHRYN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3008565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12678456",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100311950",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.