Active NPI
Samantha Richards
- Psychiatric/Mental Health Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3009440
- Practice address
- 4123 Dutchmans LN Ste 503
Louisville, KY 40207-4730 - Phone
- (502) 899-6220
- Fax
- (502) 599-6205
- NPI assigned
- Jun 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3009440 | KY | Primary |
Addresses
Primary practice location
4123 Dutchmans LN Ste 503
Louisville, KY 40207-4730
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other practice location 1
4710 Champions Trace Ln Ste 102
Louisville, KY 40218
Phone (502) 736-3051
Other practice location 2
8888 Keystone Crossing
Ste 1300
Indianapolis, IN 46240
Phone (866) 460-3567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100393350 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | srichards21041@direct.nortonhealthcare.org | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Counties Services, Inc. | Current | Accepting new patients | |
| Astra Behavioral Health LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients |
Locations
1013 Granite Dr
Bardstown, KY 40004
Phone (270) 506-2730
4123 Dutchmans Ln
Ste 503
Louisville, KY 40207
Phone (502) 409-5600
4710 Champions Trace Ln
Ste 102
Louisville, KY 40218
Phone (502) 454-6343
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
10401 Linn Station Rd
Ste 100
Louisville, KY 40223
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
10101 Linn Station Rd
Ste 600
Louisville, KY 40223
Phone (502) 858-9860
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Elizabethtown, KY
- NPI 1922427517
Psychiatric/Mental Health
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Louisville, KY
- NPI 1598793671
-
- Infectious Disease Physician
- Louisville, KY
- NPI 1437657053
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1487035689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4123 DUTCHMANS LN STE 503",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074730",
"telephone_number": "502-899-6220",
"fax_number": "502-599-6205"
}
],
"practiceLocations": [
{
"address_1": "4710 Champions Trace Ln Ste 102",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "40218",
"country_code": "US",
"telephone_number": "502-736-3051",
"fax_number": "502-459-9209",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8888 Keystone Crossing",
"address_2": "STE 1300",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "46240",
"country_code": "US",
"telephone_number": "866-460-3567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDS",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-12",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3009440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100393350",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "srichards21041@direct.nortonhealthcare.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4123 Dutchmans Ln Ste 503",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402074730",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 31, 2025; 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.