Individual provider Active NPI

Geraldine Ann Sasser, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1609399674
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3011546 Issued in KY
Practice address
2815 Taylorsville Rd Ste 102
Louisville, KY 40205-2100
Phone
(502) 709-5386
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3011546 KY Primary

Addresses

Primary practice location

2815 Taylorsville Rd Ste 102
Louisville, KY 40205-2100

Mailing address

PO Box 809
Crestwood, KY 40014-0809
Phone (502) 709-5386

Other names 1

  • Mrs. Geri A Sasser Other name

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
I20180223002515 KY Practitioner - Nurse Practitioner 7315208899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3011546KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Halcyon Kizmet LLC CurrentSince Mar 11, 2025 Accepting new patients
MHJM Counseling LLC PastSince Feb 1, 2023 Accepting new patients

Locations

2815 Taylorsville Rd
Ste 102
Louisville, KY 40205
Phone (502) 709-5386

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1609399674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400140809",
            "telephone_number": "502-709-5386",
            "fax_number": "502-653-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 TAYLORSVILLE RD STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052100",
            "telephone_number": "502-709-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSER",
        "first_name": "GERALDINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3011546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERI",
            "last_name": "SASSER",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "APRN, PMHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.