Active NPI
Annie Elizabeth Shaughnessy, APRN, FNP-C
- Family Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3016897
- Practice address
- 230 E Broadway
Louisville, KY 40202-2026 - Phone
- (502) 629-8990
- NPI assigned
- Jul 5, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3016897 | KY | Primary |
Addresses
Primary practice location
230 E Broadway
Louisville, KY 40202-2026
Mailing address
3701 Old Brownsboro Hills Rd
Louisville, KY 40241-1632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Childrens Medical Group, LLC | Family | Current | Accepting new patients |
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| Norton Children's Medical Group, LLC | Past | Accepting new patients |
Locations
2051 Clevidence Blvd
Ste C
Clarksville, IN 47129
Phone (812) 280-6623
2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030
3118 E 10th St
Ste B
Jeffersonvlle, IN 47130
Phone (812) 282-6979
207 Sparks Ave
Ste 403
Jeffersonvlle, IN 47130
Phone (812) 288-9141
1373 E State Road 62
#2
Madison, IN 47250
Phone (812) 801-0300
615 7th Ave
Bowling Green, KY 42101
Phone (270) 783-3573
202 Limestone St S
Ste 1
Frankfort, KY 40601
850 S 28th St
Ste 103
Louisville, KY 40211
Phone (502) 632-8310
6801 Dixie Hwy
Ste 127
Louisville, KY 40258
Phone (502) 355-6339
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
3026 Poplar Level Rd
Louisville, KY 40217
Phone (502) 636-4929
230 E Broadway
Louisville, KY 40202
Phone (502) 629-8901
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
2225 W Broadway
Ste B
Louisville, KY 40211
Phone (502) 588-1090
2933 Breckenridge Ln
Ste 102
Louisville, KY 40220
Phone (502) 588-9588
9217 US Highway 42
Ste G
Prospect, KY 40059
Interoperability endpoints
- aledford69080@direct.nortonhealthcare.org
Organizations & group practices 4
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.
-
dba Norton Children's Behavioral and Mental Health
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
-
dba Norton Children's Medical Group
- Pediatrics Physician
- Louisville, KY
- NPI 1326695255
Family, IN
-
dba Norton Children's Radiologists
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
-
dba Norton Children's Hospitalists
- Hospitalist Physician
- Louisville, KY
- NPI 1316584691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1518690999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 OLD BROWNSBORO HILLS RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402411632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E BROADWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022026",
"telephone_number": "502-629-8990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAUGHNESSY",
"first_name": "ANNIE",
"middle_name": "ELIZABETH",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3016897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 17, 2022; 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.