Kimberly Marie Vanderespt, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4005342 Issued in KY

Practice address

6801 Dixie Hwy Ste 135
Louisville, KY 40258-3952

Phone

(502) 791-8700

Fax

(502) 742-8523

NPI assigned

Jun 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capitol Pain Institute PAGroup PAC ID 9436244522, 40 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.72 of 100Reported as group

Quality

66.02

Promoting interoperability

100

Improvement activities

40

Cost

79.72

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Capitol Pain Institute, PA

  • Pain Medicine (Anesthesiology) Physician
  • Austin, TX
  • NPI 1548303985

  KY

  Medicare reassignment Care Compare group NPD
• Kiosk Medicine Kentucky LLC

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1205885035
  Medicare reassignment NPD
• Norton Children'S Medical Group, LLC

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1457999096
  Medicare reassignment NPD
• Capitol Pain Institute, PA

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
  • NPI 1710467287
  NPD
• Norton Children'S Medical Group, LLC

  • Acupuncturist
  • Louisville, KY
  • NPI 1588205199
  NPD
• Norton Children'S Medical Group, LLC

  • Pediatric Radiology Physician
  • Louisville, KY
  • NPI 1659913812
  NPD

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1083308134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 SHOAL CREEK BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577582",
            "telephone_number": "512-584-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 DIXIE HWY STE 135",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583952",
            "telephone_number": "502-791-8700",
            "fax_number": "502-742-8523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 Dutchmans Pkwy Ste 60",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402053341",
            "country_code": "US",
            "telephone_number": "502-791-8700",
            "fax_number": "502-742-8523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2407 Ring Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427015964",
            "country_code": "US",
            "telephone_number": "502-791-8700",
            "fax_number": "502-742-8523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERESPT",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4005342",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "15942250",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300086364",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100900220",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy J Vance, OD
• Savannah Vance, CCC-SLP
• Sharon Vancleaf
• Stephanie Dawn Vander Zouwen
• Julie Vanderespt
• Leah Vanderwerp
• Diana Dawn Vandeveer, LCSW
• Tasha Vandeventer
• Vandivier and Associates PSC
• Danny K Vandivier, PHD

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.

Verify at the official NPI Registry.