Individual provider Active NPI

Jewell Renee Lewis-Martin, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1104170786
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3007766 Issued in KY
Practice address
9200 Shelbyville Rd Ste 530
Louisville, KY 40222-5144
Phone
(502) 327-9100
Fax
(855) 632-8329
NPI assigned
Nov 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3007766 KY
Family Nurse Practitioner 363LF0000X 3007766 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3007766 KY Primary

Addresses

Primary practice location

9200 Shelbyville Rd Ste 530
Louisville, KY 40222-5144

Mailing address

9200 Shelbyville Rd Ste 530
Louisville, KY 40222-5144
Phone (502) 327-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121128000765 KY Practitioner - Nurse Practitioner 7315199262 Reassigns benefits to 1 organization
I20260515001380 IN Practitioner - Nurse Practitioner 7315199262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Pathways PLLCGroup PAC ID 0143741942, 2 clinicians

Practice addresses (Care Compare)

110 E Market St
New Albany, IN 47150-3410
Phone (502) 298-1204

1939 Goldsmith LN
Suite 24
Louisville, KY 40218-3177
Phone (502) 298-1204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3007766KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Pathways PLLC Psychiatric/Mental Health CurrentSince Nov 13, 2024 Accepting new patients
Clear Path Recovery Solutions Current Accepting new patients

Locations

110 E Market St
New Albany, IN 47150
Phone (317) 550-3043

1939 Goldsmith Ln
Ste 24
Louisville, KY 40218
Phone (502) 298-1204

140 Whittington Pkwy
Ste 100
Louisville, KY 40222

Organizations & group practices 2

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": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1104170786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SHELBYVILLE RD STE 530",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225144",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 SHELBYVILLE RD STE 530",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225144",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-MARTIN",
        "first_name": "JEWELL",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007766",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007766",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3007766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.