Active NPI
Katelyn Ann Yackey, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 50795
- Practice address
- 1050 E Market St
Louisville, KY 40206-1874 - Phone
- (502) 629-3039
- Fax
- (502) 629-3096
- NPI assigned
- Mar 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 50795 | KY | |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 50795 | KY | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 50795 | KY | Primary |
Addresses
Primary practice location
1050 E Market St
Louisville, KY 40206-1874
Mailing address
1050 E Market St
Louisville, KY 40206-1874
Phone (502) 629-3039
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300086148 | Medicaid | IN | |
| 7100214450 | Medicaid | KY | |
| K000793 | Other | KY | MEDICARE |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50795 | KY | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Children'S Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Kentucky Medical Services Foundation, Inc | Pediatrics | Current | Accepting new patients |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients |
Locations
800 Rose St
Rm M53
Lexington, KY 40536
Phone (859) 323-5083
1000 S Limestone
Lexington, KY 40506
Phone (859) 323-5901
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
1050 E Market St
Ste 101
Louisville, KY 40206
Phone (502) 588-8900
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
Interoperability endpoints
- kyackey287415@direct.nortonhealthcare.org
- kyackey24912@ukhcdirect.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Pediatrics
-
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
-
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1184913162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 E MARKET ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402061874",
"telephone_number": "502-629-3039",
"fax_number": "502-629-3096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 E MARKET ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402061874",
"telephone_number": "502-629-3039",
"fax_number": "502-629-3096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YACKEY",
"first_name": "KATELYN",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "50795",
"primary": false
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "KY",
"license": "50795",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "KY",
"license": "50795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300086148",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100214450",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "K000793",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.