Individual provider Active NPI

Erin Sizemore, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1265786727
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3007754 Issued in KY
Practice address
4123 Dutchmans LN Ste 102
Louisville, KY 40207-4718
Phone
(502) 559-1670
Fax
(502) 559-1679
NPI assigned
Nov 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007754 KY
Nurse Practitioner 363L00000X 3007754 KY Primary

Addresses

Primary practice location

4123 Dutchmans LN Ste 102
Louisville, KY 40207-4718

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Other practice location 1

234 E Gray St Ste 662
Louisville, KY 40202-1921
Phone (502) 629-4220

Other practice location 2

234 E Gray St Ste 662
Louisville, KY 40202-1921
Phone (502) 629-4220

Other identifiers 1

IdentifierTypeStateIssuer
7100234140MedicaidKY

Other names 1

  • Erin Berkley Other name

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
I20130109000390 KY Practitioner - Nurse Practitioner 6507019254 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3007754KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC Nurse Practitioner Current Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Oct 1, 2015 Accepting new patients
Norton Children'S Medical Group, LLC Nurse Practitioner CurrentSince Mar 1, 2020 Accepting new patients
Norton Children'S Medical Group, LLC Nurse Practitioner CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2015 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients
Norton Childrens Medical Group, LLC Nurse Practitioner Past Accepting new patients

Locations

720 2nd Ave
Ste 102
Bowling Green, KY 42101
Phone (502) 583-1697

3999 Dutchmans Ln
Ste 6FI
Louisville, KY 40207

3999 Dutchmans Ln
Ste 6F
Louisville, KY 40207
Phone (502) 394-1999

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

4123 Dutchmans Ln
Ste 102
Louisville, KY 40207
Phone (502) 559-1670

230 E Broadway
Louisville, KY 40202
Phone (502) 629-8901

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

150 Frankfort Rd
Ste 101
Shelbyville, KY 40065
Phone (502) 647-5468

Interoperability endpoints

  • Direct secure messaging: eberkley58877@direct.nortonhealthcare.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1265786727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "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": "4123 DUTCHMANS LN STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074718",
            "telephone_number": "502-559-1670",
            "fax_number": "502-559-1679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 E Gray St Ste 662",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021921",
            "country_code": "US",
            "telephone_number": "502-629-4220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 E Gray St Ste 662",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021921",
            "country_code": "US",
            "telephone_number": "502-629-4220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "ERIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007754",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100234140",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "BERKLEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.