Individual provider Active NPI

Hayley Liu, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1487035069
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3009423 Issued in KY
Practice address
5129 Dixie Hwy Ste 100
Louisville, KY 40216-1727
Phone
(502) 447-3338
Fax
(502) 595-7007
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3009423 KY Primary

Addresses

Primary practice location

5129 Dixie Hwy Ste 100
Louisville, KY 40216-1727

Mailing address

100 East Liberty
Suite 800
Louisville, KY 40202-1438
Phone (502) 540-3339

Other identifiers 2

IdentifierTypeStateIssuer
7100358270MedicaidKY
K159411OtherKYMEDICARE

Other names 1

  • Hayley Anderson Former name

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
I20150819007579 KY Practitioner - Nurse Practitioner 6406161520 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Oct 9, 2019 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Jun 1, 2018 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Jun 1, 2018 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 9, 2019 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

4423 Bardstown Rd
Louisville, KY 40218
Phone (502) 495-2400

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720

5129 Dixie Hwy
Ste 100
Louisville, KY 40216
Phone (502) 447-3242

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Organizations & group practices 6

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1487035069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAST LIBERTY",
            "address_2": "SUITE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021438",
            "telephone_number": "502-540-3339",
            "fax_number": "502-479-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 DIXIE HWY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161727",
            "telephone_number": "502-447-3338",
            "fax_number": "502-595-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "HAYLEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100358270",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K159411",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYLEY",
            "last_name": "ANDERSON",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.