Individual provider Active NPI

Annie Elizabeth Shaughnessy, APRN, FNP-C

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1518690999
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016897 Issued in KY
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

Updated by the provider on Oct 17, 2022

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 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, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221121002379 KY Practitioner - Nurse Practitioner 3678941754 Reassigns benefits to 1 organization
I20250407003226 IN Practitioner - Nurse Practitioner 3678941754 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Childrens Medical Group, LLC Family CurrentSince Nov 1, 2022 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Nov 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.