Active NPI
Carol Sue McLennan, MSN, ARNP, CNS, FNP
- Family Nurse Practitioner
- Louisville, KY
National Provider Identifier
1477601474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2757P
- Practice address
- 3505 Hardwood Forest Dr
Louisville, KY 40214-6513 - Phone
- (502) 419-3794
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1050157 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2757S | KY | |
| Family Nurse Practitioner | 363LF0000X | 2757P | KY | Primary |
Addresses
Primary practice location
3505 Hardwood Forest Dr
Louisville, KY 40214-6513
Mailing address
3505 Hardwood Forrest Drive
Lousville, KY 40214
Phone (502) 419-3794
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1050157 | KY | MD | Registered Nurse |
| 2757 | KY | MD | Speech-Language Pathologist |
| 2757P | KY | MD | Family Nurse Practitioner |
| 2757S | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kmi Acquisition LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Kmi Acquisition LLC | Current | Accepting new patients | |
| United Healthcare of Hardin, Inc | Past | Accepting new patients | |
| Ava Health and Wellness PLLC | Psychiatric/Mental Health | Past | Accepting new patients |
| Elderserve, Inc. | Past | Accepting new patients |
Locations
8521 La Grange Rd
Louisville, KY 40242
Phone (502) 426-5648
Organizations & group practices 7
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.
-
- Psychiatric Hospital
- Louisville, KY
- NPI 1104097021
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1205885035
-
- Community/Behavioral Health Agency
- Bardstown, KY
- NPI 1639682909
-
- Psychiatric/Mental Health Nurse Practitioner
- Louisville, KY
- NPI 1083491138
-
- Home Health Agency
- Louisville, KY
- NPI 1982886784
-
- Clinical Social Worker
- Radcliff, KY
- NPI 1851500466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1477601474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 HARDWOOD FORREST DRIVE",
"city": "LOUSVILLE",
"state": "KY",
"postal_code": "40214",
"telephone_number": "502-419-3794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 HARDWOOD FOREST DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402146513",
"telephone_number": "502-419-3794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLENNAN",
"first_name": "CAROL",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "MSN, ARNP, CNS, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1050157",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "2757S",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "2757P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 9, 2009; 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.