NPIMap

Individual provider Active NPI

Stacey Nalley, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1407269830
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008659 Issued in KY
Practice address
215 Central Ave
Louisville, KY 40208-1449
Phone
(502) 852-6479
NPI assigned
Jun 3, 2014
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28174694A IN
Family Nurse Practitioner 363LF0000X 3008659 KY Primary

Addresses

Primary practice location

215 Central Ave
Louisville, KY 40208-1449

Mailing address

PO Box 909
Louisville, KY 40201-0909

Other identifiers 1

IdentifierTypeStateIssuer
7100534800MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address snalley149776@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28174694AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC Family CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
University of Louisville Research Foundation, Inc. CurrentSince Feb 4, 2022 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
University of Louisville Research Foundation Inc Family Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 7, 2018 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
University of Louisville Research Foundation Inc CurrentSince Feb 4, 2022 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 7, 2018 Accepting new patients
University of Louisville Research Foundation Past Accepting new patients

Locations

215 Central Ave
Ste 110
Louisville, KY 40208
Phone (502) 852-5205

3991 Dutchmans Ln
Ste 303
Louisville, KY 40207
Phone (502) 559-1750

401 E Chestnut St
Unit 110
Louisville, KY 40202
Phone (502) 852-6446

530 S Jackson St
Fl 2
Louisville, KY 40202
Phone (502) 561-8844

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

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Interoperability endpoints

  • Direct secure messaging: snalley149776@direct.nortonhealthcare.org

Organizations & group practices 10

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1407269830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CENTRAL AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081449",
            "telephone_number": "502-852-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLEY",
        "first_name": "STACEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28174694A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100534800",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snalley149776@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "3991 Dutchmans Ln Ste 303",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3991 Dutchmans Ln Ste 303",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.