Individual provider Active NPI

Sara R Odle, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1366783102
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3007997 Issued in KY
Practice address
401 E Chestnut St
Suite 710
Louisville, KY 40202-5700
Phone
(502) 583-8303
NPI assigned
Mar 4, 2013
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1118146 KY
Nurse Practitioner 363L00000X 3007997 KY Primary

Addresses

Primary practice location

401 E Chestnut St
Suite 710
Louisville, KY 40202-5700

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 559-9257

Other identifiers 3

IdentifierTypeStateIssuer
201174260MedicaidIN
7100247870MedicaidKY
50049829OtherKYPASSPORT

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
I20130424001058 KY Practitioner - Nurse Practitioner 7012153778 Reassigns benefits to 3 organizations
I20240715000616 IN Practitioner - Nurse Practitioner 7012153778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.34 of 100Reported as group
Quality
89.81
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1118146KYMDNurse Practitioner
3007997KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Mar 3, 2013 Accepting new patients
Merit Anesthesia PLLC CurrentSince Aug 1, 2024 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner CurrentSince Mar 3, 2013 Accepting new patients
Norton Children's Medical Group, LLC Nurse Practitioner Current Accepting new patients
Norton Children's Medical Group, LLC Nurse Practitioner CurrentSince Mar 1, 2020 Accepting new patients
Advanced ENT and Allergy PLLC Nurse Practitioner CurrentSince Aug 1, 2024 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

108 W Daisy Ln
New Albany, IN 47150
Phone (812) 945-3557

1050 E Market St
Ste 1
Louisville, KY 40206
Phone (502) 588-8905

1725 Gagel Ave
Louisville, KY 40216
Phone (502) 995-5525

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

2944 Breckenridge Ln
Louisville, KY 40220
Phone (502) 995-5525

401 E Chestnut St
Unit 710
Louisville, KY 40202
Phone 50258383031332

411 E Chestnut St
#6
Louisville, KY 40202
Phone (502) 588-9587

4123 Dutchmans Ln
Ste 102
Louisville, KY 40207
Phone (502) 559-1670

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

9880 Angies Way
Ste 200
Louisville, KY 40241
Phone (802) 893-0159

9880 Angies Way
Ste 330
Louisville, KY 40241
Phone (502) 588-2220

140 Stonecrest Rd
Ste 100
Shelbyville, KY 40065
Phone (502) 225-6800

Interoperability endpoints

  • Direct secure messaging: sodle63541@direct.nortonhealthcare.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1366783102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-559-9257",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST",
            "address_2": "SUITE 710",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025700",
            "telephone_number": "502-583-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODLE",
        "first_name": "SARA",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "1118146",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201174260",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100247870",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50049829",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.