NPIMap

Individual provider Active NPI

Amy Alexander, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1295083517
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71004079A Issued in IN
Practice address
716 W Broadway
Louisville, KY 40202-2216
Phone
(502) 595-7744
Fax
(502) 595-7007
NPI assigned
Aug 16, 2012
Last updated
Jun 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71004079A IN Primary
Nurse Practitioner 363L00000X 3007666 KY
Registered Nurse 163W00000X 1113681 KY

Addresses

Primary practice location

716 W Broadway
Louisville, KY 40202-2216

Mailing address

716 W Broadway
Suite 2
Louisville, KY 40202-2216
Phone (502) 238-9911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140918001633 IN Practitioner - Nurse Practitioner 6406075795 Reassigns benefits to 1 organization
I20141118000976 KY Practitioner - Nurse Practitioner 6406075795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care Consultants PSCGroup PAC ID 9537139282, 12 clinicians

Practice addresses (Care Compare)

207 Sparks Ave
Jeffersonville, IN 47130-3739
Phone (502) 595-7744

716 W Broadway
Louisville, KY 40202-2216
Phone (502) 425-9121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1113681KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Consultants, PSC Nurse Practitioner CurrentSince Jul 30, 2014 Accepting new patients

Locations

313 Federal Dr NW
Ste 10
Corydon, IN 47112
Phone (502) 459-9127

207 Sparks Ave
Ste 404
Jeffersonvlle, IN 47130
Phone (812) 218-3212

1919 State St
Ste 444
New Albany, IN 47150
Phone (502) 368-9590

10216 Taylorsville Rd
Ste 850
Louisville, KY 40299
Phone (502) 266-5558

716 W Broadway
Louisville, KY 40202
Phone (502) 222-3449

716 W Broadway
Ste 2
Louisville, KY 40202

Interoperability endpoints

  • Direct secure messaging: amy.alexander@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1295083517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W BROADWAY",
            "address_2": "SUITE 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022216",
            "telephone_number": "502-238-9911",
            "fax_number": "502-238-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022216",
            "telephone_number": "502-595-7744",
            "fax_number": "502-595-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "AMY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004079A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007666",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1113681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.