Individual provider Active NPI

Ashley Elizabeth Killinder, PA-C

  • Medical Physician Assistant
  • Louisville, KY
National Provider Identifier
1447400783
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1155 Issued in KY
Practice address
200 Abraham Flexner Way
Louisville, KY 40202-2877
Phone
(502) 569-7983
Fax
(502) 589-4989
NPI assigned
Sep 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1155 KY
Medical Physician Assistant 363AM0700X PA1155 KY Primary

Addresses

Primary practice location

200 Abraham Flexner Way
Louisville, KY 40202-2877

Mailing address

100 E Liberty St Ste 800
Louisville, KY 40202-1428
Phone (502) 569-7983

Other identifiers 2

IdentifierTypeStateIssuer
7100198480MedicaidKY
P02069020OtherKYMEDICARE RR

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
I20090409000240 KY Practitioner - Physician Assistant 2567519507 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

11701 Bluegrass Pkwy
Louisville, KY 40299-2302

3900 Kresge Way
Louisville, KY 40207-4681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1155KYMDAddiction (Substance Use Disorder) Counselor
PA1155KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic, PSC CurrentSince May 31, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Baptist Health Medical Group Inc Physician Assistant CurrentSince Mar 1, 2023 Accepting new patients
University of Louisville Physicians Inc. CurrentSince Nov 1, 2019 Accepting new patients
Komg-Louisville Region Inc. CurrentSince Jan 1, 2019 Accepting new patients
New Lexington Clinic PSC CurrentSince May 31, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 1, 2023 Accepting new patients
Southern Emergency Medical Specialists, P.S.C. Physician Assistant Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

100 E Liberty St
Ste 800
Louisville, KY 40202
Phone (502) 540-3339

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

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

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

Interoperability endpoints

  • Direct secure messaging: akillinder331624@direct.stlukeshealth.org

Organizations & group practices 11

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": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1447400783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST STE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021428",
            "telephone_number": "502-569-7983",
            "fax_number": "502-589-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ABRAHAM FLEXNER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022877",
            "telephone_number": "502-569-7983",
            "fax_number": "502-589-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLINDER",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1155",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA1155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100198480",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P02069020",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.