Active NPI
Kimberly Anna, APRN
- Women's Health Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 3002162
- Practice address
- 2215 Portland Ave
Louisville, KY 40212-1033 - Phone
- (502) 774-8631
- Fax
- (502) 776-8912
- NPI assigned
- Jun 27, 2005
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 3002162 | KY | Primary |
Addresses
Primary practice location
2215 Portland Ave
Louisville, KY 40212-1033
Mailing address
PO Box 950244
Louisville, KY 40295-0244
Phone (502) 953-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78009487 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081022000338 | KY | Practitioner - Nurse Practitioner | 0547328478 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Louisville School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2215 Portland Ave
Louisville, KY 40212-1033
Phone (502) 774-8631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients |
Locations
1000 Neighborhood Pl
Fairdale, KY 40118
Phone (502) 361-2381
712 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 568-6972
4100 Taylor Blvd
Louisville, KY 40215
Phone (502) 361-2381
834 E Broadway
Louisville, KY 40204
Phone (502) 583-1981
4615 Taylor Blvd
Louisville, KY 40215
Phone (502) 366-4747
2215 Portland Ave
Louisville, KY 40212
Phone (502) 774-8631
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1649732603
KY
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1104879469
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1518963230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1356347199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950244",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950244",
"telephone_number": "502-953-4700",
"fax_number": "502-772-8189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 PORTLAND AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402121033",
"telephone_number": "502-774-8631",
"fax_number": "502-776-8912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNA",
"first_name": "KIMBERLY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "KY",
"license": "3002162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78009487",
"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 Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.