Individual provider Active NPI

Elleanor Gray Vogt, APRN

  • Pediatric Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1407402209
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3013647 Issued in KY
Practice address
3999 Dutchmans Lane
Medical Plaza 1 Ste 6
Louisville, KY 40207
Phone
(502) 394-1999
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 3013647 KY Primary

Addresses

Primary practice location

3999 Dutchmans Lane
Medical Plaza 1 Ste 6
Louisville, KY 40207

Mailing address

PO Box 776879
Chicago, IL 60677-0909
Phone (502) 559-9434

Other practice location 1

411 E Chestnut St Ste 645
Louisville, KY 40202-1713
Phone (502) 588-3650

Other practice location 2

740 S Limestone Ste K201
Lexington, KY 40536
Phone (859) 257-3533

Other names 1

  • Elleanor E Gray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191217002068 KY Practitioner - Nurse Practitioner 1153755533 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Norton Children's Medical Group, LLC Pediatrics CurrentSince Mar 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Norton Children's Medical Group, LLC Pediatrics Current Accepting new patients
Commission for Children With Special Health Car Past Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics PastSince Apr 16, 2023 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

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

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

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

3999 Dutchmans Ln
Ste 6
Louisville, KY 40207
Phone (502) 394-1999

310 Whittington Pkwy
Ste 200
Louisville, KY 40222
Phone (502) 429-1249

411 E Chestnut St
Ste 645
Louisville, KY 40202
Phone (917) 601-6999

411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330

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

Interoperability endpoints

  • Direct secure messaging: egray73372@direct.nortonhealthcare.org

Organizations & group practices 8

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1407402209",
    "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": "606770909",
            "telephone_number": "502-559-9434",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LANE",
            "address_2": "MEDICAL PLAZA 1 STE 6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-394-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 E Chestnut St Ste 645",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021713",
            "country_code": "US",
            "telephone_number": "502-588-3650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 S Limestone Ste K201",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40536",
            "country_code": "US",
            "telephone_number": "859-257-3533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOGT",
        "first_name": "ELLEANOR",
        "middle_name": "GRAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3013647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEANOR",
            "last_name": "GRAY",
            "middle_name": "E",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.