NPIMap

Individual provider Active NPI

Kristin Maddox, NP

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1639763956
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3015734 Issued in KY
Practice address
6400 Dutchmans Pkwy Ste 250
Louisville, KY 40205-3354
Phone
(502) 587-9660
Fax
(502) 540-5615
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3015734 KY Primary

Addresses

Primary practice location

6400 Dutchmans Pkwy Ste 250
Louisville, KY 40205-3354

Mailing address

6400 Dutchmans Pkwy Ste 250
Louisville, KY 40205-3354
Phone (502) 587-9660

Other names 1

  • Kristen Cox 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
I20210401002157 KY Practitioner - Nurse Practitioner 0547677890 Reassigns benefits to 1 organization
I20210709000582 IN Practitioner - Nurse Practitioner 0547677890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Kentuckiana PSCGroup PAC ID 4183522618, 38 clinicians

Practice addresses (Care Compare)

6400 Dutchmans Pkwy
Suite 250
Louisville, KY 40205-3354
Phone (502) 587-9660

911 N Shelby St
St Vincent Hospital
Salem, IN 47167-2304
Phone (812) 883-5881

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Kentuckiana PSC CurrentSince Mar 1, 2021 Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

313 Federal Dr NW
Ste 10
Corydon, IN 47112
Phone (502) 937-2209

1263 Hospital Dr NW
Corydon, IN 47112
Phone (502) 891-8575

1919 State St
Ste 444
New Albany, IN 47150
Phone (502) 368-9590

911 N Shelby St
Salem, IN 47167
Phone (812) 883-5881

1473 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-0844

6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205
Phone 5025879660239

Interoperability endpoints

  • Direct secure messaging: kcox31803@direct.acumenmd.com

Organizations & group practices 1

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1639763956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY STE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053354",
            "telephone_number": "502-587-9660",
            "fax_number": "502-540-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY STE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053354",
            "telephone_number": "502-587-9660",
            "fax_number": "502-540-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "KRISTIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3015734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "COX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.