NPIMap

Individual provider Active NPI

Lauren Graham

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1356003107
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016840 Issued in KY
Practice address
5129 Dixie Hwy Ste 201
Louisville, KY 40216-1727
Phone
(502) 430-6223
Fax
(502) 792-7272
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1122125 KY
Family Nurse Practitioner 363LF0000X 3016840 KY Primary

Addresses

Primary practice location

5129 Dixie Hwy Ste 201
Louisville, KY 40216-1727

Mailing address

5129 Dixie Hwy Ste 201
Louisville, KY 40216-1727
Phone (502) 430-6223

Other practice location 1

101 Financial Drive
Ste B103
Elizabethtown, KY 42701
Phone (502) 430-6223

Other identifiers 1

IdentifierTypeStateIssuer
7100857320MedicaidKY

Other names 1

  • Lauren Ellis Former name

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
I20211221000407 KY Practitioner - Nurse Practitioner 3678964947 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
Pain Relief CentersGroup PAC ID 1254689284, 4 clinicians

Practice addresses (Care Compare)

5129 Dixie Hwy
Suite 201
Louisville, KY 40216-1727
Phone (502) 430-6223

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1122125KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Relief Centers CurrentSince Oct 31, 2022 Accepting new patients

Locations

101 Financial Pl
Ste B103
Elizabethtown, KY 42701
Phone (270) 307-8177

5129 Dixie Hwy
Ste 201
Louisville, KY 40216
Phone (502) 430-6223

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1356003107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 DIXIE HWY STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161727",
            "telephone_number": "502-430-6223",
            "fax_number": "502-792-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 DIXIE HWY STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161727",
            "telephone_number": "502-430-6223",
            "fax_number": "502-792-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 FINANCIAL DRIVE",
            "address_2": "STE B103",
            "address_purpose": "LOCATION",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "42701",
            "country_code": "US",
            "telephone_number": "502-430-6223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1122125",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100857320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "ELLIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.