Richard A Anane
Individual provider Active NPI Family Nurse Practitioner · Louisville, KY
NPI 1114525540 · NPPES record last updated Jul 2, 2025
Key facts
- NPI
- 1114525540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3015322 (KY)
- Practice address
- 451 Baxter Ave Ste 109
Louisville, KY 40204-1177 - Phone
- (502) 533-0446
- NPI assigned
- Oct 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231101000450 | KY | Practitioner - Nurse Practitioner | 7113337379 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3015322 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Current |
Accepting new patients | |
| Community Care Health Network LLC | Current |
Accepting new patients | |
| Signify Health, LLC | Current |
Accepting new patients | |
| Louisville Mind and Wellness | Family | Current |
Accepting new patients |
| Pearl Medical Practice PLLC | Past |
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
110 W Vine St
Lexington, KY 40507
Phone (859) 208-6781
451 Baxter Ave
Ste 109
Louisville, KY 40204
Phone (502) 533-0446
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3015322 | KY | Yes |
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
Other providers in Louisville, KY
- Amsurg Kentucky Ophthalmology LLC
- Amy B. Greenamyer, PHD, PLLC
- Amy Rock LLC
- Emily Rose Amyx
- Aastha Anand
- Anant Integrated Health Services, LLC
- Deepasri Ananth
- Preethi Ananthakrishnan
- Janice Anastasia
- Anaya LLC
All providers in Louisville, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.