Audrey Joie Canary, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4034079 Issued in KY

Practice address

3288 Illinois Ave
Louisville, KY 40213-1014

Phone

(502) 214-3925

NPI assigned

Feb 10, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1235944109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 ILLINOIS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 ILLINOIS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131014",
            "telephone_number": "502-214-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANARY",
        "first_name": "AUDREY",
        "middle_name": "JOIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4034079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ildefonso A Campomanes, MD
• Mariano Camporrotondo, MD
• Can-Teens Foundation
• Dericka Canada
• Caitlin Michele Canapinno, OTR/L
• Edward L Canary II
• Alessandro Cancelliere, M.D.
• Sara Brooke Canchola, APRN
• Adriana Carolina Candelaria Jimenez
• Ismael Candelario Fernandez

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.