Individual provider Active NPI

Katelynn Prewitt, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1205427044
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015793 Issued in KY
Practice address
3026 Poplar Level Rd
Louisville, KY 40217-1301
Phone
(502) 636-4929
Fax
(502) 394-3629
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 3015793 KY
Family Nurse Practitioner 363LF0000X 71014235A IN
Family Nurse Practitioner 363LF0000X 3015793 KY Primary

Addresses

Primary practice location

3026 Poplar Level Rd
Louisville, KY 40217-1301

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Other practice location 1

400 Blankenbaker Pkwy Ste 200
Louisville, KY 40243-1850
Phone (502) 244-6373

Other identifiers 3

IdentifierTypeStateIssuer
K0003824OtherKYMEDICARE
300080157MedicaidIN
7100733330MedicaidKY

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
I20230920001327 KY Practitioner - Nurse Practitioner 2961856257 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71014235AINMDFamily Nurse Practitioner
3015793KYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC Pediatrics Current Accepting new patients
Norton Children's Medical Group, LLC Pediatrics CurrentSince Sep 1, 2023 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Sep 1, 2023 Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics Past Accepting new patients
All Children Pediatrics Holdings, PLLC Pediatrics PastSince Feb 1, 2021 Accepting new patients
Norton Children's Medical Group, LLC Pediatrics Past Accepting new patients

Locations

2051 Clevidence Blvd
Ste C
Clarksville, IN 47129
Phone (812) 280-6623

207 Sparks Ave
Ste 403
Jeffersonvlle, IN 47130
Phone (812) 288-9141

3118 E 10th St
Ste B
Jeffersonvlle, IN 47130
Phone (812) 282-6979

615 7th Ave
Bowling Green, KY 42101
Phone (270) 783-3573

6801 Dixie Hwy
Ste 127
Louisville, KY 40258
Phone (502) 355-6339

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

3026 Poplar Level Rd
Louisville, KY 40217
Phone (502) 636-4929

100 Mallard Creek Rd
Ste 395
Louisville, KY 40207
Phone (502) 895-9421

5721 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-1144

Interoperability endpoints

  • Direct secure messaging: kadkins69306@direct.nortonhealthcare.org

Organizations & group practices 6

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1205427044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "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": "3026 POPLAR LEVEL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171301",
            "telephone_number": "502-636-4929",
            "fax_number": "502-394-3629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Blankenbaker Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402431850",
            "country_code": "US",
            "telephone_number": "502-244-6373",
            "fax_number": "502-244-9860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREWITT",
        "first_name": "KATELYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3015793",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014235A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K0003824",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300080157",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100733330",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.