Marye B Dillon, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3003990 Issued in KY

Practice address

2103 Strathmoor Blvd
Louisville, KY 40205-2529

Phone

(502) 303-8193

Fax

(888) 400-7899

NPI assigned

Jul 15, 2006

Sex

Female

Sole proprietor

No

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.

• Baptist Health Medical Group Inc

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  • NPI 1922401611
  NPD
• Kiosk Medicine Kentucky LLC

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  • NPI 1205885035

  Family

  NPD
• J. Neal Sharpe, M.D. Surgical Wound Specialist, PLLC

  • Surgery Physician
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  • NPI 1336440023
  NPD (past)
• Premiere Providers PLLC

  • Family Medicine Physician
  • Greensburg, KY
  • NPI 1346360872
  NPD (past)
• Sharpcare LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1952349854
  NPD (past)
• Physicians Geriatric Health Services Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Jeffersonville, IN
  • NPI 1679628762
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marye.dillon@krogerhealth.eclinicaldirectplus.com

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477579803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 STRATHMOOR BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052529",
            "telephone_number": "502-303-8193",
            "fax_number": "888-400-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 STRATHMOOR BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052529",
            "telephone_number": "502-303-8193",
            "fax_number": "888-400-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "MARYE",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3003990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP/FNP CERTIFICATION",
            "identifier": "F1102031",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO - NICC",
            "identifier": "085599",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - NICC",
            "identifier": "000000541715",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR - NICC",
            "identifier": "P00362325",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100002500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holden Dillman, CSW
• Angela Desensi Dillon, PT
• Christina Dillon
• Dustin Webb Dillon, M.D.
• John Dillon
• Phoebe Dillon
• William C Dillon, MD
• Brittany Jones Dilworth
• John R Dimar II, MD
• Summer Dimerling

• All providers in Louisville, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.