Individual provider Active NPI

Contina A McClain-Patton, A.R.N.P

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1619997285
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3004354 Issued in KY
Practice address
1512 Crums LN Ste 305
Louisville, KY 40216-3869
Phone
(502) 409-5088
Fax
(502) 409-5092
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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 4354P KY
Family Nurse Practitioner 363LF0000X 3004354 KY Primary

Addresses

Primary practice location

1512 Crums LN Ste 305
Louisville, KY 40216-3869

Mailing address

5407 Galaxie Dr
Louisville, KY 40258-3329
Phone (502) 299-1827

Other practice location 1

5407 Galaxie Dr
Louisville, KY 40258-3329
Phone (502) 299-1827

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
I20051209000372 KY Practitioner - Nurse Practitioner 2466473194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1512 Crums Lane
Suite 305
Louisville, KY 40216-3869

1512 Crums LN
Suite 305
Louisville, KY 40216-3869
Phone (502) 299-1827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4354PKYMDNurse Practitioner
3004354KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Contina McClain Patton Arnp PLLC Family CurrentSince Mar 9, 2007 Accepting new patients
Advanced Healthcare Associates LLP Nurse Practitioner Current Accepting new patients
Our Care Community Supports LLC Current Accepting new patients
Tam Healthcare Options, PLLC. PastSince Dec 1, 2009 Accepting new patients
Dr Charles Bensenhaver III LLC PastSince Jan 31, 2023 Accepting new patients
Kentucky Geriatrics PSC Past Accepting new patients

Locations

900 Gagel Ave
Louisville, KY 40216
Phone (502) 368-5827

6415 Calm River Way
Louisville, KY 40299
Phone (502) 297-8590

1512 Crums Ln
Ste 305
Louisville, KY 40216
Phone (502) 299-1827

1705 Herr Ln
Louisville, KY 40222
Phone (502) 426-5600

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1619997285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 GALAXIE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583329",
            "telephone_number": "502-299-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 CRUMS LN STE 305",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163869",
            "telephone_number": "502-409-5088",
            "fax_number": "502-409-5092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5407 Galaxie Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402583329",
            "country_code": "US",
            "telephone_number": "502-299-1827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLAIN-PATTON",
        "first_name": "CONTINA",
        "middle_name": "A",
        "credential": "A.R.N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4354P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.