Active NPI
Domini Alexis Plymale, APRN
- Family Nurse Practitioner
- Shepherdsville, KY
National Provider Identifier
1659196111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4027964
- Practice address
- 115 Huston Dr Ste 1
Shepherdsville, KY 40165-7250 - Phone
- (502) 955-7311
- NPI assigned
- Nov 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4027964 | KY | |
| Family Nurse Practitioner | 363LF0000X | 4027964 | KY | Primary |
Addresses
Primary practice location
115 Huston Dr Ste 1
Shepherdsville, KY 40165-7250
Mailing address
319 N Mulberry St
Elizabethtown, KY 42701-1845
Phone (270) 300-2501
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
115 Huston Dr
Suite 1
Shepherdsville, KY 40165-7250
Phone (502) 955-7311
Hospital & facility affiliations
- Baptist Health Hardin
- Norton Hospitals, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4027964 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Family | Current | Accepting new patients |
| Community Medical Associates, Inc. | Family Medicine | Past | Accepting new patients |
Locations
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
115 Huston Dr
Ste 1
Shepherdsville, KY 40165
Phone (502) 955-7311
115 Huston Dr
Shepherdsville, KY 40165
Phone (502) 365-2655
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
Family
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
Family Medicine
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1659196111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 N MULBERRY ST",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427011845",
"telephone_number": "270-300-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 HUSTON DR STE 1",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401657250",
"telephone_number": "502-955-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLYMALE",
"first_name": "DOMINI",
"middle_name": "ALEXIS",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-20",
"last_updated": "2025-02-11",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "4027964",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4027964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shepherdsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.