NPIMap

Individual provider Active NPI

Sarah Shea, NP-C

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1093245433
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011252 Issued in KY
Practice address
1136 Lydia St
Louisville, KY 40217-1249
Phone
(502) 615-6920
NPI assigned
Jun 18, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011252 KY Primary

Addresses

Primary practice location

1136 Lydia St
Louisville, KY 40217-1249

Mailing address

1136 Lydia St
Louisville, KY 40217-1249
Phone (502) 615-6920

Other names 1

  • Sarah Spiller Former name

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
I20200609001786 KY Practitioner - Nurse Practitioner 2062833528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Kentuckiana PSCGroup PAC ID 4183522618, 38 clinicians

Practice addresses (Care Compare)

6400 Dutchmans Pkwy
Suite 250
Louisville, KY 40205-3354
Phone (502) 587-9660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3011252KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Kentuckiana PSC CurrentSince Mar 6, 2020 Accepting new patients

Locations

4359 New Shepherdsville Rd
Unit 205
Bardstown, KY 40004
Phone (502) 350-1302

914 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 735-9066

325 W Walnut St
Lebanon, KY 40033
Phone (270) 699-9500

1451 Harrodsburg Rd
Ste D102
Lexington, KY 40504
Phone (859) 276-2525

210 E Gray St
Louisville, KY 40202
Phone (502) 587-9350

2400 Eastpoint Pkwy
Louisville, KY 40223
Phone (502) 210-4850

6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205
Phone 5025879660239

9880 Angies Way
Louisville, KY 40241
Phone (502) 339-6490

1036 Center Dr
Richmond, KY 40475

1036 Center Dr
Ste A
Richmond, KY 40475
Phone (859) 353-4245

950 Main St
Rowletts, KY 42765
Phone (270) 524-1201

Interoperability endpoints

  • Direct secure messaging: sshea31847@direct.acumenmd.com

Organizations & group practices 1

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 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093245433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 LYDIA ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171249",
            "telephone_number": "502-615-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 LYDIA ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171249",
            "telephone_number": "502-615-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "SARAH",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SPILLER",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.