Active NPI
Karen Ann Cassidy, APRN
- Family Nurse Practitioner
- Louisville, KY
National Provider Identifier
1295027258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3000959
- Practice address
- 200 Abraham Flexner Way
Louisville, KY 40202-2877 - Phone
- (502) 587-4391
- Fax
- (502) 407-3048
- NPI assigned
- May 10, 2011
- 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 | 3000959 | KY | Primary |
Addresses
Primary practice location
200 Abraham Flexner Way
Louisville, KY 40202-2877
Mailing address
6801 Dixie Hwy
Suite 130
Louisville, KY 40258-3913
Phone (502) 587-4391
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201035760A | Medicaid | IN | |
| 78000577 | Medicaid | KY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1295027258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 DIXIE HWY",
"address_2": "SUITE 130",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402583913",
"telephone_number": "502-587-4391",
"fax_number": "502-407-3048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ABRAHAM FLEXNER WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022877",
"telephone_number": "502-587-4391",
"fax_number": "502-407-3048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "KAREN",
"middle_name": "ANN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3000959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201035760A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78000577",
"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 Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.