Individual provider Active NPI

Starr Padron-Harris, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1407580657
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017737 Issued in KY
Practice address
1155 Eastern Pkwy
Louisville, KY 40217-1401
Phone
(502) 230-1180
NPI assigned
Jul 13, 2022
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 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 3017737 KY Primary

Addresses

Primary practice location

1155 Eastern Pkwy
Louisville, KY 40217-1401

Mailing address

104 Daventry LN
Louisville, KY 40223-2883
Phone (502) 356-9575

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
I20220817002915 KY Practitioner - Nurse Practitioner 1456734839 Reassigns benefits to 3 organizations
I20250612003148 IN Practitioner - Nurse Practitioner 1456734839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simplicity Health Nursing HomeGroup PAC ID 2668822891, 10 clinicians
Simplicity Health IndianaGroup PAC ID 9335658426, 3 clinicians

Practice addresses (Care Compare)

104 Daventry LN
Suite 2
Louisville, KY 40223-2883
Phone (502) 445-7957

110 E Market St
New Albany, IN 47150-3410
Phone (502) 445-7957

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3017737KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Simplicity Health Nursing Home CurrentSince Sep 27, 2023 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Aug 3, 2022 Accepting new patients
Gim of Kentucky PLLC Family CurrentSince Jan 13, 2023 Accepting new patients
Simplicity Health Indiana CurrentSince Apr 15, 2025 Accepting new patients
Simplicity Transitional Health LLC CurrentSince Jan 13, 2024 Accepting new patients

Locations

110 E Market St
New Albany, IN 47150
Phone (317) 550-3043

708 Bartley Ave
Bardstown, KY 40004
Phone (502) 348-9260

104 Daventry Ln
Ste 2
Louisville, KY 40223
Phone (502) 445-7957

1155 Eastern Pkwy
Louisville, KY 40217
Phone (502) 636-5241

279 N Hubbards LN
Louisville, KY 40207
Phone (502) 618-8058

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

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

Interoperability endpoints

  • Direct secure messaging: starr.padron@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1407580657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DAVENTRY LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232883",
            "telephone_number": "502-356-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 EASTERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171401",
            "telephone_number": "502-230-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRON-HARRIS",
        "first_name": "STARR",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.