Active NPI
Donna Jean Casada, APRN
- Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3002288
- Practice address
- 2355 Poplar Level Rd Ste G1-11
Louisville, KY 40217-1367 - Phone
- (502) 636-8121
- Fax
- (502) 636-8128
- NPI assigned
- Jul 5, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3002288 | KY | Primary |
Addresses
Primary practice location
2355 Poplar Level Rd Ste G1-11
Louisville, KY 40217-1367
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78022886 | Medicaid | KY |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dcasada165513@direct.nortonhealthcare.org | Direct | |
| Direct Messaging Address | dcasada165513@direct.nortonhealthcare.org | ||
| FHIR URL | https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3002288 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Medical Associates PLLC | Nurse Practitioner | Current | Accepting new patients |
| Community Medical Associates, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Community Medical Associates, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients |
Locations
201 S 5th St
Bardstown, KY 40004
Phone (502) 348-5968
5900 N Dixie Hwy
Elizabethtown, KY 42701
Phone (270) 737-1212
2355 Poplar Level Rd
Ste G111
Louisville, KY 40217
Phone (502) 636-8121
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
Nurse Practitioner
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1629461751
Nurse Practitioner
-
- Pediatric Orthopaedic Surgery Physician
- Louisville, KY
- NPI 1134587140
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1225035298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"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 G1-11",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171367",
"telephone_number": "502-636-8121",
"fax_number": "502-636-8128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASADA",
"first_name": "DONNA",
"middle_name": "JEAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3002288",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78022886",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dcasada165513@direct.nortonhealthcare.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2355 Poplar Level Rd Ste G1-11",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402171367",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dcasada165513@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "2355 Poplar Level Rd Ste G1-11",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402171367",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2355 Poplar Level Rd Ste G1-11",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402171367",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 13, 2020; 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.