Individual provider Active NPI

Jolynn Gaither-Wilson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1588021877
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3009994 Issued in KY
Practice address
1941 Bishop LN Ste 506
Louisville, KY 40218-1969
Phone
(502) 203-1084
Fax
(502) 371-8760
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3009994 KY Primary
Family Nurse Practitioner 363LF0000X 3009994 KY

Addresses

Primary practice location

1941 Bishop LN Ste 506
Louisville, KY 40218-1969

Mailing address

1941 Bishop LN Ste 506
Louisville, KY 40218-1969
Phone (502) 203-1084

Other names 1

  • Mrs. Jolynn Gaither-Crenshaw Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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
I20160204001148 KY Practitioner - Nurse Practitioner 9133423502 Reassigns benefits to 4 organizations
Practice locations: Louisville, KY
I20260325001014 OH Practitioner - Nurse Practitioner 9133423502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Caremed Health Solutions of Kentucky, LLCGroup PAC ID 4880071299, 24 clinicians
Wound Med LLCGroup PAC ID 2769916915, 33 clinicians

Practice addresses (Care Compare)

1820 Oakview Rd
Ashland, KY 41101-3677
Phone (718) 534-0689

3550 Northfield Rd
Shaker Heights, OH 44122-5249
Phone (216) 752-5600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009994KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Counseling Center, LLC Nurse Practitioner CurrentSince Jul 12, 2019 Accepting new patients
Gim of Kentucky PLLC Family CurrentSince Jul 24, 2017 Accepting new patients
Pearl Medical Practice PLLC PastSince Jan 31, 2021 Accepting new patients

Locations

708 Bartley Ave
Bardstown, KY 40004
Phone (502) 348-9260

1169 Eastern Pkwy
Ste 3310
Louisville, KY 40217
Phone (502) 373-2939

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1588021877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 BISHOP LN STE 506",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181969",
            "telephone_number": "502-203-1084",
            "fax_number": "502-371-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 BISHOP LN STE 506",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181969",
            "telephone_number": "502-203-1084",
            "fax_number": "502-371-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAITHER-WILSON",
        "first_name": "JOLYNN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3009994",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLYNN",
            "last_name": "GAITHER-CRENSHAW",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.