Individual provider Active NPI

Lesli Ann Carter, FNP-C

  • Pediatric Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1699036541
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3007470 Issued in KY
Practice address
5120 Dixie Hwy
Suite 101
Louisville, KY 40216-1702
Phone
(502) 448-7853
Fax
(502) 448-2281
NPI assigned
Jun 6, 2012
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 3007470 KY Primary

Addresses

Primary practice location

5120 Dixie Hwy
Suite 101
Louisville, KY 40216-1702

Mailing address

PO Box 950293
Louisville, KY 40295-0293
Phone (888) 987-1785

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lcarter189309@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200706001240 KY Practitioner - Nurse Practitioner 4082037312 Reassigns benefits to 1 organization
I20200916000395 IN Practitioner - Nurse Practitioner 4082037312 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Childrens Medical Group, LLC Pediatrics Current Accepting new patients
Norton Children's Medical Group, LLC Pediatrics Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Jul 1, 2020 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Jul 1, 2020 Accepting new patients
One Pediatrics, PLLC Pediatrics PastSince Jul 25, 2021 Accepting new patients

Locations

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

411 E Chestnut St
#5
Louisville, KY 40202
Phone (502) 588-0390

411 E Chestnut St
#5A
Louisville, KY 40202
Phone (502) 588-2349

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

Organizations & group practices 5

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1699036541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950293",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950293",
            "telephone_number": "888-987-1785",
            "fax_number": "405-609-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 DIXIE HWY",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161702",
            "telephone_number": "502-448-7853",
            "fax_number": "502-448-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "LESLI",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3007470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcarter189309@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "5120 Dixie Hwy",
            "address_2": "Suite 101",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402161702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5120 Dixie Hwy",
            "address_2": "Suite 101",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402161702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.