Individual provider Active NPI

Kassandra Fox, NP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1124795505
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016577 Issued in KY
Practice address
2355 Poplar Level Rd Ste 405
Louisville, KY 40217-1389
Phone
(502) 636-7845
Fax
(502) 636-8045
NPI assigned
Aug 24, 2021
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3016577 KY
Family Nurse Practitioner 363LF0000X 3016577 KY Primary

Addresses

Primary practice location

2355 Poplar Level Rd Ste 405
Louisville, KY 40217-1389

Mailing address

PO Box 776347
Chicago, IL 60677-6347
Phone (502) 588-9490

Other identifiers 2

IdentifierTypeStateIssuer
300065078MedicaidIN
7100774260MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krutherford119845@direct.nortonhealthcare.org Direct

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
I20211013002228 KY Practitioner - Nurse Practitioner 7911305461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
60.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3016577KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals Inc Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
Baptist Medical Associates Inc CurrentSince Oct 1, 2021 Accepting new patients
Norton Hospitals, Inc Family CurrentSince Sep 1, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2021 Accepting new patients

Locations

1031 New Moody Ln
Ste 204
Lagrange, KY 40031
Phone (502) 222-4385

2355 Poplar Level Rd
Ste 400
Louisville, KY 40217
Phone (502) 459-3760

2355 Poplar Level Rd
Ste 405
Louisville, KY 40217
Phone (502) 636-7845

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

3991 Dutchmans Ln
Ste 405
Louisville, KY 40207
Phone (502) 899-3366

4955 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 394-6350

676 S Floyd St
Lowr
Louisville, KY 40202
Phone (502) 629-2500

676 S Floyd St
Ste 200
Louisville, KY 40202
Phone (502) 629-2500

676 S Floyd St
Ste 202
Louisville, KY 40202

131 Stonecrest Rd
Ste 100
Shelbyville, KY 40065
Phone (502) 633-7093

Interoperability endpoints

  • Direct secure messaging: krutherford119845@direct.nortonhealthcare.org

Organizations & group practices 4

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1124795505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776347",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776347",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 POPLAR LEVEL RD STE 405",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171389",
            "telephone_number": "502-636-7845",
            "fax_number": "502-636-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "KASSANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3016577",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300065078",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100774260",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krutherford119845@direct.nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2355 Poplar Level Rd Ste 405",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.