Active NPI
Starr Padron-Harris, APRN
- Family Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3017737
- Practice address
- 1155 Eastern Pkwy
Louisville, KY 40217-1401 - Phone
- (502) 230-1180
- NPI assigned
- Jul 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Louisville, KY
- NPI 1831884568
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sellersburg, IN
- NPI 1194011056
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 HomeSimplicity Health Indiana
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
- Carefirst Rehab LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220817002915 | KY | Practitioner - Nurse Practitioner | 1456734839 | Reassigns benefits to 3 organizations |
| I20250612003148 | IN | Practitioner - Nurse Practitioner | 1456734839 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3017737 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simplicity Health Nursing Home | Current | Accepting new patients | |
| Gim of Kentucky PLLC | Family | Current | Accepting new patients |
| Kiosk Medicine Kentucky LLC | Family | Current | Accepting new patients |
| Simplicity Transitional Health LLC | Current | Accepting new patients | |
| Simplicity Health Indiana | Current | 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
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
104 Daventry Ln
Ste 2
Louisville, KY 40223
Phone (502) 445-7957
5001 Mud Ln
Louisville, KY 40229
Phone (502) 962-0710
Interoperability endpoints
- starr.padron@krogerhealth.eclinicaldirectplus.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3017737 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1155 Eastern Pkwy
Louisville, KY 40217-1401
Mailing address
104 Daventry LN
Louisville, KY 40223-2883
Phone (502) 356-9575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2024.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.