Individual provider Active NPI

Susan Kay Whittington, APRN

  • Family Nurse Practitioner
  • La Grange, KY
National Provider Identifier
1295496750
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017215 Issued in KY
Practice address
2835 S Highway 393
La Grange, KY 40031-9613
Phone
(502) 530-4812
Fax
(502) 530-4813
NPI assigned
Jan 6, 2022
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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 3017215 KY Primary

Addresses

Primary practice location

2835 S Highway 393
La Grange, KY 40031-9613

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

Other practice location 1

5929 Timber Ridge Dr
Prospect, KY 40059-8132
Phone (502) 228-2507

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
I20220226000140 KY Practitioner - Nurse Practitioner 9436543923 Reassigns benefits to 1 organization
I20220517001080 IN Practitioner - Nurse Practitioner 9436543923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Clinic of in LLCGroup PAC ID 7719118447, 66 clinicians
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

1027 Jeffersonville Commons Dr
Jeffersonville, IN 47130-8395
Phone (812) 288-0011

5929 Timber Ridge Dr
Prospect, KY 40059-8132
Phone (502) 228-2507

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

Merit-based Incentive Payment System (MIPS)

Final score
83.89 of 100Reported as group
Quality
67.99
Promoting interoperability
100
Improvement activities
40
Cost
78.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3017215KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Mar 23, 2022 Accepting new patients
Little Clinic of in LLC Family CurrentSince May 16, 2022 Accepting new patients

Locations

305 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 283-3630

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

1027 Jeffersonville Commons Dr
Jeffersonvlle, IN 47130
Phone (812) 288-0011

2835 S Highway 393
La Grange, KY 40031
Phone (502) 530-4808

12450 La Grange Rd
Louisville, KY 40245
Phone (502) 241-6770

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

5929 Timber Ridge Dr
Prospect, KY 40059
Phone (502) 228-2507

Interoperability endpoints

  • Direct secure messaging: susan.whittington@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1295496750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 S HIGHWAY 393",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319613",
            "telephone_number": "502-530-4812",
            "fax_number": "502-530-4813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5929 Timber Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Prospect",
            "state": "KY",
            "postal_code": "400598132",
            "country_code": "US",
            "telephone_number": "502-228-2507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTINGTON",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

Verify at the official NPI Registry.