Individual provider Active NPI

Sarah Ashley Skinner, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1649687666
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008735 Issued in KY
Practice address
6610 Bardstown Rd
Louisville, KY 40291-3045
Phone
(502) 233-8048
Fax
(502) 373-1288
NPI assigned
Jul 22, 2014
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008735 KY Primary

Addresses

Primary practice location

6610 Bardstown Rd
Louisville, KY 40291-3045

Mailing address

6610 Bardstown Rd
Louisville, KY 40291-3045
Phone (502) 233-8048

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
I20140908001226 KY Practitioner - Nurse Practitioner 3779702667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Louisville Family Care PLLCGroup PAC ID 0345661732, 2 clinicians

Practice addresses (Care Compare)

6610 Bardstown Rd
Louisville, KY 40291-3045
Phone (502) 233-8048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3008735KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Family Care, PLLC CurrentSince Jun 19, 2020 Accepting new patients
First You Medical Center PLLC Family CurrentSince Jul 23, 2014 Accepting new patients
Southland Bainbridge Hospitalist Group, LLC Past Accepting new patients

Locations

151 E Broadway St
Eminence, KY 40019
Phone (502) 845-0005

6407 Bardstown Rd
Louisville, KY 40291
Phone (502) 512-2895

6610 Bardstown Rd
Louisville, KY 40291
Phone (502) 233-8048

Interoperability endpoints

  • Direct secure messaging: sarah.skinner@115443077021700.direct.elationemr.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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1649687666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402913045",
            "telephone_number": "502-233-8048",
            "fax_number": "502-373-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402913045",
            "telephone_number": "502-233-8048",
            "fax_number": "502-373-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "SARAH",
        "middle_name": "ASHLEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.