Individual provider Active NPI

Ann W Swintosky, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1174730600
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3008405 Issued in KY
Practice address
4011 Gardiner Point Dr Ste 101
Louisville, KY 40213-1988
Phone
(502) 451-5121
Fax
(502) 451-5125
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3008405 KY Primary

Addresses

Primary practice location

4011 Gardiner Point Dr Ste 101
Louisville, KY 40213-1988

Mailing address

4011 Gardiner Point Dr Ste 101
Louisville, KY 40213-1988
Phone (502) 451-5121

Other identifiers 1

IdentifierTypeStateIssuer
7100279020MedicaidKY

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
I20180302000840 KY Practitioner - Nurse Practitioner 0244591485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sullivan Psychiatric Group, PLLC Psychiatric/Mental Health CurrentSince Jan 16, 2018 Accepting new patients

Locations

4011 Gardiner Point Dr
Ste 101
Louisville, KY 40213
Phone (502) 451-5121

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1174730600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 GARDINER POINT DR STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131988",
            "telephone_number": "502-451-5121",
            "fax_number": "502-451-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 GARDINER POINT DR STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131988",
            "telephone_number": "502-451-5121",
            "fax_number": "502-451-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINTOSKY",
        "first_name": "ANN",
        "middle_name": "W",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3008405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100279020",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.