Individual provider Active NPI

Brandy D Stinson, NP

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1265661698
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1086032 Issued in KY
Practice address
200 East Chestnut Street, Service Building
Suite 303
Louisville, KY 40202-1831
Phone
(502) 629-5552
Fax
(502) 629-3132
NPI assigned
Jul 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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 1086032 KY Primary

Addresses

Primary practice location

200 East Chestnut Street, Service Building
Suite 303
Louisville, KY 40202-1831

Mailing address

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

Other identifiers 10

IdentifierTypeStateIssuer
200962900OtherINHEALTHY INDIANA PLAN (THRU MD WISE)- CARDIOTHORACIC SURGERY OF LOUISVILLE
000000630697OtherKYANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE
000051983VOtherKYHUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE
200962900OtherINHEALTHY INDIANA PLAN (THRU ANTHEM)- CARDIOTHORACIC SURGERY OF LOUISVILLE
3737982000OtherKYPASSPORT ADVANTAGE- CARDIOTHORACIC SURGERY OF LOUISVILLE
200962900OtherINANTHEM INDIANA MEDICAID- CARDIOTHORACIC SURGERY OF LOUISVILLE
50025831OtherKYPASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE
7100086960MedicaidKY
200962900OtherKYMANAGED HEALTH SERVICES- CARDIOTHORACIC SURGERY OF LOUISVILLE
200962900MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bstinson12655@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1086032KYMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1265661698",
    "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": "200 EAST CHESTNUT STREET, SERVICE BUILDING",
            "address_2": "SUITE 303",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021831",
            "telephone_number": "502-629-5552",
            "fax_number": "502-629-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSON",
        "first_name": "BRANDY",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "1086032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY INDIANA PLAN (THRU MD WISE)- CARDIOTHORACIC SURGERY OF LOUISVILLE",
            "identifier": "200962900",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE",
            "identifier": "000000630697",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE",
            "identifier": "000051983V",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY INDIANA PLAN (THRU ANTHEM)- CARDIOTHORACIC SURGERY OF LOUISVILLE",
            "identifier": "200962900",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE- CARDIOTHORACIC SURGERY OF LOUISVILLE",
            "identifier": "3737982000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIANA MEDICAID- CARDIOTHORACIC SURGERY OF LOUISVILLE",
            "identifier": "200962900",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE",
            "identifier": "50025831",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100086960",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH SERVICES- CARDIOTHORACIC SURGERY OF LOUISVILLE",
            "identifier": "200962900",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200962900",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bstinson12655@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "200 East Chestnut Street, Service Building",
            "address_2": "Suite 303",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "200 East Chestnut Street, Service Building",
            "address_2": "Suite 303",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021831",
            "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 Dec 22, 2021; 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.