Individual provider Active NPI

Avian Schafer, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1386246429
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015188 Issued in KY
Practice address
2301 Terra Crossing Blvd Ste 103
Louisville, KY 40245-3909
Phone
(502) 410-0191
Fax
(502) 890-5177
NPI assigned
Nov 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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 3015188 KY Primary

Addresses

Primary practice location

2301 Terra Crossing Blvd Ste 103
Louisville, KY 40245-3909

Mailing address

2301 Terra Crossing Blvd
Louisville, KY 40245-3909
Phone (502) 410-0191

Other names 1

  • Avian Fletcher Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210128000904 KY Practitioner - Nurse Practitioner 7618381930 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Family CurrentSince Aug 25, 2023 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jan 11, 2021 Accepting new patients

Locations

2301 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 410-0191

9080 Taylorsville Rd
Louisville, KY 40299
Phone (502) 491-8805

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

2301 Terra Crossing Blvd
Ste 103
Louisville, KY 40245
Phone (502) 410-0191

5001 Mud Ln
Louisville, KY 40229
Phone (502) 962-0710

Interoperability endpoints

  • Direct secure messaging: avian.schafer.1@18382.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1386246429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 TERRA CROSSING BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402453909",
            "telephone_number": "502-410-0191",
            "fax_number": "502-890-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 TERRA CROSSING BLVD STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402453909",
            "telephone_number": "502-410-0191",
            "fax_number": "502-890-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "AVIAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVIAN",
            "last_name": "FLETCHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.