Individual provider Active NPI

Lydia Sophia Crowder, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1235625963
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3012245 Issued in KY
Practice address
3 Audubon Plaza Dr Ste 220
Louisville, KY 40217
Phone
(502) 636-7242
Fax
(502) 636-7130
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3012245 KY
Nurse Practitioner 363L00000X 3012245 KY Primary

Addresses

Primary practice location

3 Audubon Plaza Dr Ste 220
Louisville, KY 40217

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other names 1

  • Lydia Mendez Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lmendez45934@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, 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

Enrollment IDStateProvider typePAC IDDetails
I20181102000898 KY Practitioner - Nurse Practitioner 3577816818 Reassigns benefits to 2 organizations
I20230728003107 IN Practitioner - Nurse Practitioner 3577816818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kentucky College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

1919 State St
Suite 360
New Albany, IN 47150-6801
Phone (502) 928-0900

3900 Kresge Way
Suite 42
Louisville, KY 40207-4683
Phone (502) 894-9499

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3012245KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Associates Inc CurrentSince Jun 28, 2023 Accepting new patients
Community Medical Associates, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 28, 2023 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner Current Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Dec 1, 2018 Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1919 State St
Ste 360
New Albany, IN 47150
Phone (502) 928-0900

3900 Kresge Way
Ste 42
Louisville, KY 40207
Phone (502) 894-9499

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

4003 Kresge Way
Ste 228
Louisville, KY 40207
Phone (502) 893-5100

3 Audubon Plaza Dr
Ste 220
Louisville, KY 40217
Phone (502) 636-7242

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235625963",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 AUDUBON PLAZA DR STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40217",
            "telephone_number": "502-636-7242",
            "fax_number": "502-636-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "LYDIA",
        "middle_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2023-03-07",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3012245",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmendez45934@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "3 Audubon Plaza Dr Ste 220",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40217",
            "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": "3 Audubon Plaza Dr Ste 220",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "MENDEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.