Melinda Dolack, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3008836 Issued in KY

Practice address

2440 Bardstown Rd
Louisville, KY 40205-2123

Phone

(502) 632-0984

Fax

(502) 632-0985

NPI assigned

Dec 16, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kiosk Medicine Kentucky LLC

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1205885035
  Medicare reassignment NPD
• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316
  Medicare reassignment NPD
• Windrose Health Network Inc

  • Federally Qualified Health Center (FQHC)
  • Trafalgar, IN
  • NPI 1568404226
  Medicare reassignment NPD
• University of Louisville Physicians Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1659646081
  NPD
• University of Louisville Physicians, Inc.

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1316294127
  NPD
• Windrose Health Network Inc

  • Federally Qualified Health Center (FQHC)
  • Avon, IN
  • NPI 1447822150
  NPD
• Windrose Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Trafalgar, IN
  • NPI 1255611331
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184022634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052123",
            "telephone_number": "502-632-0984",
            "fax_number": "502-632-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLACK",
        "first_name": "MELINDA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Doggendorf
• Gladys M Doggett, MSSW, CSW
• Joyce Dohn, ARNP
• Caitlin Dohoney, PHARMD
• Brendan Doksa, PT
• Emily Dolberry
• Andrew Patrick Dolce
• Alissa Jean Doll
• Elizabeth Shelton Doll, M.D.
• Lauren Rose Doll, OTR

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.