Organization Active NPI

Melanie Drury Aprn LLC

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1447810635
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MELANIE DRURY APRN LLC
Practice address
10203 Wood Violet CT
Louisville, KY 40228-1944
Phone
(502) 428-9573
Fax
(833) 449-5150
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Ms. Melanie Drury, APRNNPI 1952885998
Title
Owner
Phone
(502) 428-9573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

10203 Wood Violet CT
Louisville, KY 40228-1944

Mailing address

PO Box 37170
Belfast, ME 04915-1213
Phone (888) 488-8289

Other identifiers 3

IdentifierTypeStateIssuer
7100609160MedicaidKY
CS1936500271OtherKYCARESOURCE
PDZ000000910763OtherKYAETNA BETTER HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melanie.drury.2@29428.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190809001525 KY Part B Supplier - Clinic/Group Practice 6406183649 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: melanie.drury.2@29428.direct.athenahealth.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1447810635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37170",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151213",
            "telephone_number": "888-488-8289",
            "fax_number": "833-449-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10203 WOOD VIOLET CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402281944",
            "telephone_number": "502-428-9573",
            "fax_number": "833-449-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE DRURY APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "DRURY",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-428-9573",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100609160",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "CS1936500271",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BETTER HEALTH",
            "identifier": "PDZ000000910763",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melanie.drury.2@29428.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "10203 Wood Violet Ct",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402281944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.