Individual provider Active NPI

Sara Ballard, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Versailles, KY
National Provider Identifier
1437986544
Registry record updated Sep 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4025116 Issued in KY
Practice address
5070 Fords Mill Rd
Versailles, KY 40383-8574
Phone
(859) 338-7567
NPI assigned
Sep 14, 2024
Last updated
Sep 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4025116 KY Primary

Addresses

Primary practice location

5070 Fords Mill Rd
Versailles, KY 40383-8574

Mailing address

5070 Fords Mill Rd
Versailles, KY 40383-8574
Phone (859) 338-7567

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
I20250319002707 KY Practitioner - Nurse Practitioner 3779005772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Kentucky, LLCGroup PAC ID 3173952637, 28 clinicians
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

3500 Good Samaritan Way
Louisville, KY 40299-6117
Phone (502) 267-7403

649 Chamberlin Ave
Frankfort, KY 40601-4220
Phone (859) 296-3141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Telos Health Systems Ky LLC Psychiatric/Mental Health CurrentSince Jan 13, 2025 Accepting new patients

Locations

3500 Good Samaritan Way
Louisville, KY 40299
Phone (502) 267-7403

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, 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": "1726272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1437986544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5070 FORDS MILL RD",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403838574",
            "telephone_number": "859-338-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 FORDS MILL RD",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403838574",
            "telephone_number": "859-338-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4025116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Versailles, KY

Sources for this page

Verify at the official NPI Registry.