Active NPI
Lucretia Davis
- Family Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3014452
- Practice address
- 2406 W Broadway
Louisville, KY 40211-1008 - Phone
- (502) 775-1211
- NPI assigned
- Mar 10, 2020
- Last updated
- Oct 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3014452 | KY | Primary |
Addresses
Primary practice location
2406 W Broadway
Louisville, KY 40211-1008
Mailing address
2406 W Broadway
Louisville, KY 40211-1008
Phone (502) 775-1211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN1123437 | Other | KY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Valley Hospital Medicine Physicians, LLC | Current | Accepting new patients | |
| New Albany Hospitalist Group, LLC | Current | Accepting new patients | |
| Pinnacle Inpatient Medical Services, PLLC | Current | Accepting new patients | |
| SHC Medical Partners of Kentucky, LLC | Current | Accepting new patients | |
| Lu Legacy Homecare Limited Liability Company | Current | Accepting new patients | |
| PMR Ky Holding, LLC | Current | Accepting new patients | |
| Amin's Family Practice Associates , PSC | Family | Current | Accepting new patients |
Locations
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
3300 Tates Creek Rd
Lexington, KY 40502
Phone (859) 266-2126
10100 Dixie Hwy
Louisville, KY 40272
Phone (502) 637-1005
12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364
1405 Browns Ln
Louisville, KY 40207
Phone (502) 896-0495
1505 S 7th St
Louisville, KY 40208
Phone (502) 637-1005
2406 W Broadway
Louisville, KY 40211
Phone (502) 775-1211
2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560
7926 Preston Hwy
Ste 103
Louisville, KY 40219
Phone (502) 309-9811
805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
3909 S Wilson Rd
Radcliff, KY 40160
Phone (270) 351-8976
625 Taylorsville Rd
Taylorsville, KY 40071
Phone (423) 581-8844
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.
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1750307393
-
- Internal Medicine Physician
- Paducah, KY
- NPI 1215604236
-
- Family Medicine Physician
- Radcliff, KY
- NPI 1386148856
-
- Nurse Practitioner
- Louisville, KY
- NPI 1417132614
-
- Hospitalist Physician
- New Albany, IN
- NPI 1255084752
-
- In Home Supportive Care Agency
- Coldstream, KY
- NPI 1639920077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1285269241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 W BROADWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402111008",
"telephone_number": "502-775-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 W BROADWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402111008",
"telephone_number": "502-775-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LUCRETIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-10",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3014452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "RN1123437",
"state": "KY"
}
],
"endpoints": [],
"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 Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.