NPIMap

Individual provider Active NPI

Kimberly Ann Mulrooney, APRN-NP

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1295019081
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3007168 Issued in KY
Practice address
5129 Dixie Hwy Ste 100
Louisville, KY 40216-1727
Phone
(502) 447-3338
Fax
(502) 448-4722
NPI assigned
Sep 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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 3007168 KY Primary

Addresses

Primary practice location

5129 Dixie Hwy Ste 100
Louisville, KY 40216-1727

Mailing address

100 E Liberty St
Suite 800 - Business Office
Louisville, KY 40202-1434
Phone (502) 772-1822

Other identifiers 2

IdentifierTypeStateIssuer
P01541709OtherKYMEDICARE RR
7100186890MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120327000573 KY Practitioner - Nurse Practitioner 2567622616 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

215 Central Ave
Suite 100
Louisville, KY 40208-1450
Phone (502) 588-8720

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 9, 2019 Accepting new patients
New Lexington Clinic PSC CurrentSince Jan 29, 2024 Accepting new patients
New Lexington Clinic, PSC CurrentSince Jan 29, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 9, 2019 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince May 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

5129 Dixie Hwy
Ste 100
Louisville, KY 40216
Phone (502) 447-3242

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

4423 Bardstown Rd
Louisville, KY 40218
Phone (502) 495-2400

Interoperability endpoints

  • Direct secure messaging: kmulrooney13890@uoflhealth-dm.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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1295019081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST",
            "address_2": "SUITE 800 - BUSINESS OFFICE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021434",
            "telephone_number": "502-772-1822",
            "fax_number": "502-774-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 DIXIE HWY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161727",
            "telephone_number": "502-447-3338",
            "fax_number": "502-448-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULROONEY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01541709",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100186890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.