NPIMap

Individual provider Active NPI

Jennifer L Hardin, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1538534342
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009696 Issued in KY
Practice address
716 W Broadway
Louisville, KY 40202
Phone
(502) 595-7744
Fax
(502) 595-7007
NPI assigned
Dec 4, 2015
Last updated
Aug 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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 3009696 KY Primary

Addresses

Primary practice location

716 W Broadway
Louisville, KY 40202

Mailing address

716 W Broadway
Louisville, KY 40202-2216
Phone (502) 595-7744

Other names 1

  • Jennifer L Mays Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160119001246 KY Practitioner - Nurse Practitioner 6103129507 Reassigns benefits to 1 organization
I20160407000193 IN Practitioner - Nurse Practitioner 6103129507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care Consultants PSCGroup PAC ID 9537139282, 12 clinicians

Practice addresses (Care Compare)

716 W Broadway
Louisville, KY 40202-2216
Phone (502) 425-9121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009696KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Consultants, PSC CurrentSince Jan 4, 2016 Accepting new patients
Farnolle Dialysis LLC PastSince Mar 7, 2021 Accepting new patients

Locations

207 Sparks Ave
Ste 404
Jeffersonvlle, IN 47130
Phone (812) 218-3212

10216 Taylorsville Rd
Ste 850
Louisville, KY 40299
Phone (502) 266-5558

3906 S DuPont Sq
Ste E
Louisville, KY 40207
Phone (502) 893-6654

5801 Preston Hwy
Louisville, KY 40219
Phone (502) 308-3432

716 W Broadway
Louisville, KY 40202
Phone (502) 222-3449

9720 Park Plaza Ave
Unit 104
Louisville, KY 40241
Phone (502) 425-9138

1903 W Hebron Ln
Ste 202
Shepherdsville, KY 40165

Interoperability endpoints

  • Direct secure messaging: jennifer.hardin@direct.davitaphysiciansolutions.com

Organizations & group practices 2

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.

Hospital & facility affiliations 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1538534342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022216",
            "telephone_number": "502-595-7744",
            "fax_number": "502-595-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-595-7744",
            "fax_number": "502-595-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MAYS",
            "middle_name": "L",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.