Individual provider Active NPI

Donna Jean Casada, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1225035298
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3002288 Issued in KY
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

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
78022886MedicaidKY

Electronic endpoints 3

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091221000025 KY Practitioner - Nurse Practitioner 4587704796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3002288KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Medical Associates PLLC Nurse Practitioner CurrentSince Jan 1, 2026 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Sep 1, 2019 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2019 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.

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

Verify at the official NPI Registry.