Individual provider Active NPI

Kayla Brooke Troutman

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1457839441
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC743 Issued in KY
Practice address
1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone
(502) 634-6767
Fax
(502) 634-6775
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TC743 KY Primary

Addresses

Primary practice location

1 Audubon Plaza Dr
Louisville, KY 40217-1318

Mailing address

PO Box 36218
Louisville, KY 40233-6218
Phone (502) 634-6767

Other practice location 1

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 634-6767

Other practice location 2

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 634-6767

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
I20190301002347 KY Practitioner - Physician Assistant 0244579662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aptiva HealthGroup PAC ID 0547595316, 36 clinicians

Practice addresses (Care Compare)

10100 Linn Station Rd
Suite 1a
Louisville, KY 40223-3861
Phone (502) 909-0772

3611 Newburg Rd
Louisville, KY 40218-3368
Phone (502) 909-0772

3615 Newburg Rd
Louisville, KY 40218-3368
Phone (502) 909-0772

529 Westport Rd
Suite 2
Elizabethtown, KY 42701-2923
Phone (502) 909-0772

737 N Hwy 31E Byp
Suite 2
Mt Washington, KY 40047-7548
Phone (502) 909-0772

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TC743KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aptiva Health Physician Assistant CurrentSince Jan 2, 2024 Accepting new patients
Aptiva Health CurrentSince Jan 2, 2024 Accepting new patients
Aptiva Health Past Accepting new patients

Locations

529 Westport Rd
Ste 2
Elizabethtown, KY 42701

2093 Medical Arts Dr
Hebron, KY 41048
Phone (859) 442-6600

230 Fountain Ct
Ste 180
Lexington, KY 40509
Phone (859) 276-5008

3615 Newburg Rd
Louisville, KY 40218
Phone (502) 583-1011

10100 Linn Station Rd
Ste 1A
Louisville, KY 40223
Phone 5029090772 ext. 85585

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

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

401 N English Station Rd
Louisville, KY 40223

3611 Newburg Rd
Louisville, KY 40218

Organizations & group practices 4

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1457839441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36218",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402336218",
            "telephone_number": "502-634-6767",
            "fax_number": "502-634-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AUDUBON PLAZA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171318",
            "telephone_number": "502-634-6767",
            "fax_number": "502-634-6775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021831",
            "country_code": "US",
            "telephone_number": "502-634-6767",
            "fax_number": "502-634-6775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4960 Norton Healthcare Blvd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402412831",
            "country_code": "US",
            "telephone_number": "502-634-6767",
            "fax_number": "502-634-6775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROUTMAN",
        "first_name": "KAYLA",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.