Individual provider Active NPI

Shannon Bretz, APRN

  • Adult Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1649433434
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3005631 Issued in KY
Practice address
400 E Gray St
Louisville, KY 40202-1740
Phone
(502) 574-6520
NPI assigned
Jul 2, 2008
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3005631 KY Primary

Addresses

Primary practice location

400 E Gray St
Louisville, KY 40202-1740

Mailing address

555 S Floyd St Ste 3019
Louisville, KY 40202-3822
Phone (502) 891-8700

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
I20250226002194 KY Practitioner - Nurse Practitioner 4981124575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville-Jefferson County Metro Government CurrentSince Feb 10, 2025 Accepting new patients
Louisville-Jefferson County Metro Government CurrentSince Feb 10, 2025 Accepting new patients
Louisville Jefferson County Metro Government Current Accepting new patients

Locations

400 E Gray St
Louisville, KY 40202
Phone (502) 574-5652

611 W Jefferson St
Fl 3
Louisville, KY 40202

7219 Dixie Hwy
Louisville, KY 40258
Phone (502) 574-7975

914 E Broadway
Ste 102
Louisville, KY 40204
Phone (502) 574-6699

Interoperability endpoints

  • Direct secure messaging: shannon.bretznp.p1@direct.lmphw.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1649433434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S FLOYD ST STE 3019",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023822",
            "telephone_number": "502-891-8700",
            "fax_number": "502-852-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E GRAY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021740",
            "telephone_number": "502-574-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETZ",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3005631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.