Individual provider Active NPI

Elisabeth Burnett Sanderson, APRN PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Crestwood, KY
National Provider Identifier
1467145367
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4004956 Issued in KY
Practice address
8206 Highview CT
Crestwood, KY 40014-8105
Phone
(502) 243-9559
NPI assigned
May 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4004956 KY Primary
Nurse Practitioner 363L00000X 4004956 KY

Addresses

Primary practice location

8206 Highview CT
Crestwood, KY 40014-8105

Mailing address

8206 Highview CT
Crestwood, KY 40014-8105
Phone (502) 243-9559

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
I20230908001889 KY Practitioner - Nurse Practitioner 3274997242 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Kentucky, LLCGroup PAC ID 3173952637, 28 clinicians
PPL Therapeutic Services PLLCGroup PAC ID 8527323989, 30 clinicians

Practice addresses (Care Compare)

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

618 Lovers LN
Bowling Green, KY 42103-6904
Phone (270) 936-8164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4004956KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PPL Therapeutic Services PLLC Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
Telos Health Systems Ky LLC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients
River Region Psychiatry Associates LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1048 Ashley St
Ste 201
Bowling Green, KY 42103
Phone (270) 205-4585

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

801 Barret Ave
Ste 110
Louisville, KY 40204
Phone (270) 205-4585

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

1333 W Main St
Princeton, KY 42445
Phone (270) 365-3541

Organizations & group practices 3

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": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1467145367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 HIGHVIEW CT",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148105",
            "telephone_number": "502-243-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 HIGHVIEW CT",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148105",
            "telephone_number": "502-243-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "ELISABETH",
        "middle_name": "BURNETT",
        "credential": "APRN PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4004956",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4004956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestwood, KY

Sources for this page

Verify at the official NPI Registry.