Individual provider Active NPI

Sandra Kay Decker, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1285145235
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011791 Issued in KY
Practice address
9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812
Phone
(833) 510-4357
NPI assigned
Oct 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011791 KY Primary

Addresses

Primary practice location

9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice location 1

4010 Dupont Cir
Ste 226
Louisville, KY 40207-4847
Phone (502) 896-8006

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
I20200227002448 KY Practitioner - Nurse Practitioner 3870920044 Reassigns benefits to 5 organizations
Practice locations: Louisville, KY
I20220822002213 IN Practitioner - Nurse Practitioner 3870920044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SHC Medical Partners of Kentucky, LLCGroup PAC ID 1153406301, 45 clinicians
Abode Care Partners LTC VB LLCGroup PAC ID 8325316516, 81 clinicians

Practice addresses (Care Compare)

2529 Six Mile LN
Louisville, KY 40220-2934
Phone (502) 491-5560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3011791KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview, LLC CurrentSince Jul 24, 2023 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 20, 2025 Accepting new patients
Brightview LLC CurrentSince Jul 24, 2023 Accepting new patients
Spero Health of Kentucky, LLC CurrentSince May 13, 2022 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jan 20, 2025 Accepting new patients
Spero Health of Indiana, LLC CurrentSince May 12, 2022 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 20, 2025 Accepting new patients
SHC Medical Partners of Kentucky, LLC CurrentSince Jan 20, 2025 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jan 20, 2025 Accepting new patients

Locations (25 of 27)

8202 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 288-9942

1820 E 10th St
Jeffersonvlle, IN 47130
Phone (812) 282-6311

830 W Broadway St
Campbellsville, KY 42718
Phone (270) 849-4938

1610 Madison Ave
Covington, KY 41011

106 Belinda Blvd
Ste 100
Danville, KY 40422
Phone (859) 439-0340

914 N Dixie Ave
Ste 100
Elizabethtown, KY 42701
Phone (270) 266-2391

4135 Dixie Hwy
Elsmere, KY 41018
Phone (855) 510-4357

1154A Lexington Rd
Georgetown, KY 40324
Phone (502) 868-0008

621 Happy Valley Rd
Glasgow, KY 42141
Phone (270) 398-7634

320 Morton Blvd
Hazard, KY 41701
Phone (606) 487-8383

500 N Green St
Henderson, KY 42420

575 W Main St
Lexington, KY 40507

2645 N Laurel Rd
#A
London, KY 40741

9702 Stonestreet Rd
Ste 120
Louisville, KY 40272
Phone (502) 749-6249

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

1017 DuPont Rd
Louisville, KY 40207
Phone (502) 365-4467

805 N Whittington Pkwy
Ste 2
Louisville, KY 40222

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

9 E Arch St
Madisonville, KY 42431
Phone (270) 491-3942

506 N Main St
Nicholasville, KY 40356
Phone (859) 887-3712

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

2202 Martin Luther King Jr Blvd
Paris, KY 40361
Phone (833) 510-5173

3911 N Mayo Trl
Pikeville, KY 41501

30 Medpark Square Dr
Ste 2
Somerset, KY 42503

Organizations & group practices 9

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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1285145235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9702 STONESTREET RD STE 120",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402726812",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 DUPONT CIR",
            "address_2": "STE 226",
            "address_purpose": "LOCATION",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074847",
            "country_code": "US",
            "telephone_number": "502-896-8006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.