Individual provider Active NPI

Allie Gordon, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1053813303
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3012029 Issued in KY
Practice address
4000 Kresge Way
Louisville, KY 40207-4605
Phone
(502) 899-7646
Fax
(502) 899-7648
NPI assigned
Mar 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012029 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3012029 KY Primary
Nurse Practitioner 363L00000X 3012029 KY

Addresses

Primary practice location

4000 Kresge Way
Louisville, KY 40207-4605

Mailing address

PO Box 6749
Louisville, KY 40206-0749
Phone (502) 899-7646

Other names 1

  • Allie Geary Former name

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
I20180330000809 KY Practitioner - Nurse Practitioner 8527320613 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ava Health and Wellness PLLCGroup PAC ID 1052707999, 10 clinicians

Practice addresses (Care Compare)

9811 Brownsboro Rd
Suite 101
Louisville, KY 40241-5230
Phone (502) 289-9306

Merit-based Incentive Payment System (MIPS)

Final score
82.05 of 100Reported as group
Quality
68.56
Promoting interoperability
95
Improvement activities
40
Cost
75.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3012029KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Observational Medicine Associates PSC Nurse Practitioner CurrentSince Sep 7, 2021 Accepting new patients
Ohio Valley Pain Institute PLLC Nurse Practitioner CurrentSince Apr 1, 2024 Accepting new patients
Ava Health and Wellness PLLC Psychiatric/Mental Health CurrentSince Aug 16, 2025 Accepting new patients

Locations

1169 Eastern Pkwy
Ste 400
Louisville, KY 40217
Phone (502) 276-5554

1169 Eastern Pkwy
Louisville, KY 40217
Phone (502) 242-9091

9462 Brownsboro Rd
Louisville, KY 40241
Phone (502) 396-3320

417 Benjamin Ln
Ste 101
Louisville, KY 40222
Phone (502) 289-9306

9811 Brownsboro Rd
Ste 101
Louisville, KY 40241
Phone (502) 289-9306

3901 Dutchmans Ln
Ste 105
Louisville, KY 40207
Phone (502) 895-2334

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

Organizations & group practices 4

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": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1053813303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6749",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402060749",
            "telephone_number": "502-899-7646",
            "fax_number": "502-895-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 KRESGE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074605",
            "telephone_number": "502-899-7646",
            "fax_number": "502-899-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ALLIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012029",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3012029",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLIE",
            "last_name": "GEARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.