Karen D Eastridge, NP-C, CDE

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

3658P Issued in KY

Practice address

4003 Kresge Way Ste 400
Louisville, KY 40207-4652

Phone

(502) 895-4263

Fax

(502) 899-5488

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Exceptional Care Services LLC

  • Primary Care Clinic/Center
  • Lexington, KY
  • NPI 1245900794
  Medicare reassignment NPD
• M&M Medical Clinics LLC

  • Internal Medicine Physician
  • Masonic Home, KY
  • NPI 1467960492
  Medicare reassignment NPD
• Central Medical Associates PLLC

  • Internal Medicine Physician
  • Elizabethtown, KY
  • NPI 1629461751
  NPD (past)
• DRS Shpilberg & Shpilberg LLP

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1336133867
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1578588687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 COMMERCE CROSSINGS DR FL 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292182",
            "telephone_number": "502-253-4900",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 KRESGE WAY STE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074652",
            "telephone_number": "502-895-4263",
            "fax_number": "502-899-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTRIDGE",
        "first_name": "KAREN",
        "middle_name": "D",
        "credential": "NP-C, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3658P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMER ACAD NURSE PRACTITIO",
            "identifier": "A1101205",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori J Eastman, COTA/L
• Kelley R. Easton, MSN, FNP-BC, NP-C
• Eastpoint Audiology, LLC
• Eastpoint Psychological Services, PLLC
• Eastpoint Recovery PLLC
• Eastway SNF Operations LLC
• Eastwood Fire District
• Anjana Easwar, MD
• Bernadette Veza Eaton, M.D.
• Elizabeth H G Eaton

• Adult Health Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Adult Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.

Verify at the official NPI Registry.