Active NPI
Sally Waddle McGeehan, NP
- Nurse Practitioner
- Louisville, KY
National Provider Identifier
1679573208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 298P
- Practice address
- 9800 Shelbyville Rd
Suite #220
Louisville, KY 40223-2977 - Phone
- (502) 429-8585
- Fax
- (502) 753-0889
- NPI assigned
- Jul 26, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 298P | KY | Primary |
Addresses
Primary practice location
9800 Shelbyville Rd
Suite #220
Louisville, KY 40223-2977
Mailing address
206 E Oak St
Somerset, KY 42501-1421
Phone (606) 678-0783
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78001013 | Medicaid | KY | |
| 1881785947 | Other | KY | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 298P | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspired Medical Services, LLC | Past | Accepting new patients |
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Louisville, KY
- NPI 1780926279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1679573208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 E OAK ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425011421",
"telephone_number": "606-678-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 SHELBYVILLE RD",
"address_2": "SUITE #220",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402232977",
"telephone_number": "502-429-8585",
"fax_number": "502-753-0889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGEEHAN",
"first_name": "SALLY",
"middle_name": "WADDLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "298P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78001013",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1881785947",
"state": "KY"
}
],
"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 Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.