Individual provider Active NPI

Stephanie Brooke White, APRN, FNP-C

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1497213185
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013047 Issued in KY
Practice address
3900 Kresge Way Ste 60
Louisville, KY 40207-4690
Phone
(502) 893-7710
Fax
(502) 893-1391
NPI assigned
Mar 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3013047 KY Primary

Addresses

Primary practice location

3900 Kresge Way Ste 60
Louisville, KY 40207-4690

Mailing address

6400 Dutchmans Pkwy
Louisville, KY 40205-3340
Phone (502) 587-9660

Other practice location 1

6400 Dutchmans Pkwy
Louisville, KY 40205-3340
Phone (502) 587-9660

Other identifiers 2

IdentifierTypeStateIssuer
14420992OtherCAQH
7100627950MedicaidKY

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
I20191111001419 KY Practitioner - Nurse Practitioner 3375975444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2400 Eastpoint Pkwy
Louisville, KY 40223-4154

3900 Kresge Way
Louisville, KY 40207-4681

3950 Kresge Way
Louisville, KY 40207-4637

4002 Kresge Way
Suite 110
Louisville, KY 40207-4605
Phone (502) 928-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Oct 28, 2022 Accepting new patients
Nephrology Associates of Kentuckiana PSC CurrentSince Apr 14, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 28, 2022 Accepting new patients

Locations

4359 New Shepherdsville Rd
Unit 205
Bardstown, KY 40004
Phone (502) 350-1302

107 Medical Park Dr
Campbellsville, KY 42718
Phone (270) 469-0923

914 N Dixie Ave
Ste 303
Elizabethtown, KY 42701
Phone (270) 900-0871

608 Chamberlin Ave
Frankfort, KY 40601
Phone (502) 607-0731

1023 New Moody Ln
Ste 202A
Lagrange, KY 40031
Phone (502) 222-3324

325 W Walnut St
Ste 300
Lebanon, KY 40033
Phone (270) 692-0735

1451 Harrodsburg Rd
Ste D304
Lexington, KY 40504
Phone (859) 317-1673

3605 Fern Valley Rd
Ste 300
Louisville, KY 40219
Phone (502) 928-0125

3900 Kresge Way
Ste 60
Louisville, KY 40207
Phone (502) 893-7710

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

1900 Bluegrass Ave
Ste 300
Louisville, KY 40215
Phone (502) 361-1222

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205
Phone 5025879660239

2400 Eastpoint Pkwy
Ste 580
Louisville, KY 40223
Phone (502) 893-7710

9880 Angies Way
Ste 130
Louisville, KY 40241
Phone (502) 365-2655

210 E Gray St
Ste 700
Louisville, KY 40202
Phone (502) 629-5400

1036 Center Dr
Ste A
Richmond, KY 40475
Phone (859) 353-4245

950 Main St
Rowletts, KY 42765
Phone (270) 524-1201

115 Huston Dr
Ste 1
Shepherdsville, KY 40165
Phone (502) 955-7311

1553 Highway 44 E
Shepherdsvlle, KY 40165
Phone (502) 955-7311

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1497213185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053340",
            "telephone_number": "502-587-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 KRESGE WAY STE 60",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074690",
            "telephone_number": "502-893-7710",
            "fax_number": "502-893-1391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 Dutchmans Pkwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402053340",
            "country_code": "US",
            "telephone_number": "502-587-9660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "STEPHANIE",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14420992",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100627950",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.