Individual provider Active NPI

Debra Strotman, APRN

  • Adult Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1679608152
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3002960 Issued in KY
Practice address
4001 Kresge Way Ste 236
Louisville, KY 40207
Phone
(502) 893-7372
Fax
(502) 409-4715
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2960P KY
Adult Health Nurse Practitioner 363LA2200X 3002960 KY Primary

Addresses

Primary practice location

4001 Kresge Way Ste 236
Louisville, KY 40207

Mailing address

4001 Kresge Way Ste 236
Louisville, KY 40207-4640
Phone (502) 893-7372

Other practice location 1

10507 Timberwood Circle
Suite 208
Louisville, KY 40223-5300
Phone (502) 498-4071

Other identifiers 1

IdentifierTypeStateIssuer
78004827MedicaidKY

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
I20050915000275 KY Practitioner - Nurse Practitioner 7618900127 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2960PKYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Specialists, PSC Adult Health CurrentSince Mar 23, 2019 Accepting new patients
Rehab Management Services Holdingsllc Past Accepting new patients
Family Foot and Ankle Care PLLC Past Accepting new patients
Mobile MD Holdings LLC Adult Health Past Accepting new patients

Locations

1155 Eastern Pkwy
Louisville, KY 40217
Phone (502) 636-5241

1801 Lynn Way
Louisville, KY 40222
Phone (502) 262-5172

4001 Kresge Way
Ste 236
Louisville, KY 40207
Phone (502) 893-7336

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617

6301 Bass Rd
River Bluff, KY 40059
Phone (502) 228-8359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18405/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1679608152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 KRESGE WAY STE 236",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074640",
            "telephone_number": "502-893-7372",
            "fax_number": "502-409-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KRESGE WAY STE 236",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-893-7372",
            "fax_number": "502-409-4715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10507 Timberwood Circle",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402235300",
            "country_code": "US",
            "telephone_number": "502-498-4071",
            "fax_number": "888-423-5216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROTMAN",
        "first_name": "DEBRA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "2960P",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3002960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78004827",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.