Active NPI
Vonnie L Rodgers, NP
- Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3009057
- Practice address
- 4003 Kresge Way
Suite 221
Louisville, KY 40207-4652 - Phone
- (502) 897-7107
- Fax
- (502) 897-7613
- NPI assigned
- Sep 10, 2009
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 66498 | OK | |
| Nurse Practitioner | 363L00000X | 3009057 | KY | Primary |
Addresses
Primary practice location
4003 Kresge Way
Suite 221
Louisville, KY 40207-4652
Mailing address
PO Box 950248
Louisville, KY 40295-0248
Phone (502) 238-2801
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141217001255 | KY | Practitioner - Nurse Practitioner | 5395883268 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Louisville Hospitalist Associates PLLC
Practice addresses (Care Compare)
4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 895-8911
Hospital & facility affiliations
- Baptist Health Louisville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisville Hospitalist Associates PLLC | Nurse Practitioner | Current | Accepting new patients |
| Medicine PLLC | Past | Accepting new patients |
Locations
4001 Kresge Way
Ste 122
Louisville, KY 40207
Phone (502) 895-8911
4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Louisville, KY
- NPI 1962531731
KY, Nurse Practitioner
-
- Infectious Disease Physician
- Louisville, KY
- NPI 1003003351
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415664000000",
"number": "1659604536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950248",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950248",
"telephone_number": "502-238-2801",
"fax_number": "502-489-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4003 KRESGE WAY",
"address_2": "SUITE 221",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074652",
"telephone_number": "502-897-7107",
"fax_number": "502-897-7613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "VONNIE",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2014-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "66498",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3009057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.