Individual provider Active NPI

Lauren Miller Masterson, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1518388982
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008448 Issued in KY
Practice address
401 E Chestnut St Unit 510
Louisville, KY 40202
Phone
(502) 588-4800
Fax
(502) 588-4801
NPI assigned
Jan 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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 3008448 KY Primary

Addresses

Primary practice location

401 E Chestnut St Unit 510
Louisville, KY 40202

Mailing address

PO Box 909
Louisville, KY 40201-0909

Other practice location 1

1505 S 7th St
Louisville, KY 40208-1710
Phone (502) 637-1005 ext. 119

Other practice location 2

1505 S 7th St
Louisville, KY 40208-1710
Phone (502) 637-1005 ext. 119

Other identifiers 2

IdentifierTypeStateIssuer
7100273300MedicaidKY
201260240MedicaidIN

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
I20140204000451 KY Practitioner - Nurse Practitioner 4688803117 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008448KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 22, 2014 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 22, 2014 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1505 S 7th St
Louisville, KY 40208
Phone (502) 637-1005

10100 Dixie Hwy
Louisville, KY 40272
Phone (502) 637-1005

401 E Chestnut St
Unit 510
Louisville, KY 40202
Phone (502) 588-4800

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1518388982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST UNIT 510",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-588-4800",
            "fax_number": "502-588-4801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402081710",
            "country_code": "US",
            "telephone_number": "502-637-1005 x119",
            "fax_number": "502-637-5631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402081710",
            "country_code": "US",
            "telephone_number": "502-637-1005 x119",
            "fax_number": "502-637-5631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "LAUREN",
        "middle_name": "MILLER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100273300",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201260240",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.