Individual provider Active NPI

Samantha Richards

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1487035689
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3009440 Issued in KY
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

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100393350MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151105001603 KY Practitioner - Nurse Practitioner 0648582148 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Counties Services, Inc. CurrentSince Sep 9, 2019 Accepting new patients
Astra Behavioral Health LLC Psychiatric/Mental Health CurrentSince Jan 4, 2016 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Community Medical Associates, Inc. CurrentSince Feb 1, 2022 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.

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

Verify at the official NPI Registry.