Individual provider Active NPI

Sherry Lynn Evans, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1528438041
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3009745 Issued in KY
Practice address
9800 Shelbyville Rd Ste 220
Louisville, KY 40223-5440
Phone
(502) 429-8585
Fax
(502) 753-0889
NPI assigned
Sep 26, 2015
Last updated
Jan 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71006858A IN
Nurse Practitioner 363L00000X 3009745 KY Primary

Addresses

Primary practice location

9800 Shelbyville Rd Ste 220
Louisville, KY 40223-5440

Mailing address

9800 Shelbyville Rd Ste 220
Louisville, KY 40223-5440
Phone (502) 429-8585

Other practice location 1

3003 Charlestown Xing Ste D
New Albany, IN 47150-8302
Phone (812) 945-5653

Other identifiers 1

IdentifierTypeStateIssuer
7100363650MedicaidKY

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
I20151012001003 KY Practitioner - Nurse Practitioner 2567771678 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71006858AINMDNurse Practitioner
3009745KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Jan 1, 2018 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Jan 1, 2018 Accepting new patients
Harrison County Chiropractic PC PastSince Dec 13, 2020 Accepting new patients
Pearl Medical Practice PLLC PastSince Jan 31, 2021 Accepting new patients
PSF PLLC Nurse Practitioner PastSince Jul 15, 2001 Accepting new patients

Locations

220 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 280-5315

2021 Hikes Ln
Louisville, KY 40218
Phone (502) 446-5461

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1443225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1528438041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235440",
            "telephone_number": "502-429-8585",
            "fax_number": "502-753-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235440",
            "telephone_number": "502-429-8585",
            "fax_number": "502-753-0889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 Charlestown Xing Ste D",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471508302",
            "country_code": "US",
            "telephone_number": "812-945-5653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-26",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71006858A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100363650",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.