Individual provider Active NPI

Richard A Anane

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1114525540
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015322 Issued in KY
Practice address
451 Baxter Ave Ste 109
Louisville, KY 40204-1177
Phone
(502) 533-0446
NPI assigned
Oct 16, 2020
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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 3015322 KY Primary

Addresses

Primary practice location

451 Baxter Ave Ste 109
Louisville, KY 40204-1177

Mailing address

10405 Venado Dr
Louisville, KY 40291-4510
Phone (502) 533-0446

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
I20231101000450 KY Practitioner - Nurse Practitioner 7113337379 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Nov 13, 2024 Accepting new patients
Community Care Health Network LLC CurrentSince Aug 1, 2025 Accepting new patients
Louisville Mind and Wellness Family CurrentSince Aug 5, 2024 Accepting new patients
Signify Health, LLC CurrentSince Sep 18, 2023 Accepting new patients
Pearl Medical Practice PLLC PastSince Jan 31, 2021 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

451 Baxter Ave
Ste 109
Louisville, KY 40204
Phone (502) 533-0446

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Farmers Branch, TX 75244
Phone (469) 466-7007

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1114525540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10405 VENADO DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914510",
            "telephone_number": "502-533-0446",
            "fax_number": "773-825-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 BAXTER AVE STE 109",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041177",
            "telephone_number": "502-533-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANE",
        "first_name": "RICHARD",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-16",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.