Active NPI
Jennifer Christine Angermeier, APRN
- School Registered Nurse
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 3011381
- Practice address
- 4615 Taylor Blvd
Louisville, KY 40215-2307 - Phone
- (502) 366-4747
- Fax
- (502) 434-5894
- NPI assigned
- Jul 5, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3011381 | KY | |
| Women's Health Nurse Practitioner | 363LW0102X | 3013181 | KY | |
| School Registered Nurse | 163WS0200X | 3011381 | KY | Primary |
Addresses
Primary practice location
4615 Taylor Blvd
Louisville, KY 40215-2307
Mailing address
496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2425
Other practice location 1
1130 W Chestnut St
Louisville, KY 40203
Phone (502) 916-7572
Other practice location 2
8800 Westport Rd
Louisville, KY 40242-3124
Phone (502) 485-8125
Other practice location 3
3015 Wilson Ave
Louisville, KY 40211
Phone (502) 774-4401
Other practice location 4
496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2425
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 |
|---|---|---|---|---|
| I20200221001771 | KY | Practitioner - Nurse Practitioner | 6507293081 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013181 | KY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Past | Accepting new patients | |
| Family Health Centers Inc | Past | Accepting new patients | |
| Family Health Centers, Inc. | Past | Accepting new patients | |
| Family Health Centers, Inc. | Past | Accepting new patients | |
| Family Health Centers, Inc. | Past | Accepting new patients | |
| Family Health Centers, Inc. | Past | Accepting new patients |
Locations
1000 Neighborhood Pl
Fairdale, KY 40118
Phone (502) 361-2381
2500 W Market St
Louisville, KY 40212
Phone (502) 778-0084
4805 Southside Dr
Louisville, KY 40214
Phone (502) 772-8860
120 W Broadway
Louisville, KY 40202
Phone (502) 772-8662
4803 Southside Dr
Louisville, KY 40214
Phone (502) 363-8606
2215 Portland Ave
Louisville, KY 40212
Phone (502) 774-8631
834 E Broadway
Louisville, KY 40204
Phone (502) 583-1981
4112 Taylor Blvd
Louisville, KY 40215
Phone (502) 366-4747
4100 Taylor Blvd
Louisville, KY 40215
Phone (502) 361-2381
712 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 568-6972
4615 Taylor Blvd
Louisville, KY 40215
Phone (502) 366-4747
Interoperability endpoints
- jennifer.angermeier.1@28492.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1649732603
KY
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1104879469
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1134172489
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1356394670
-
- Federally Qualified Health Center (FQHC)
- Fairdale, KY
- NPI 1871546119
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1942954441
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1205889540
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1427574862
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1518963230
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1578774477
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1801662721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1699296293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 SOUTHLAND DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031827",
"telephone_number": "859-288-2425",
"fax_number": "859-288-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4615 TAYLOR BLVD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402152307",
"telephone_number": "502-366-4747",
"fax_number": "502-434-5894"
}
],
"practiceLocations": [
{
"address_1": "1130 W Chestnut St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "40203",
"country_code": "US",
"telephone_number": "502-916-7572",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8800 Westport Rd",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402423124",
"country_code": "US",
"telephone_number": "502-485-8125",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3015 Wilson Ave",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "40211",
"country_code": "US",
"telephone_number": "502-774-4401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "496 Southland Dr",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405031827",
"country_code": "US",
"telephone_number": "859-288-2425",
"fax_number": "859-288-7510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANGERMEIER",
"first_name": "JENNIFER",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-05",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3011381",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "KY",
"license": "3013181",
"primary": false
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "KY",
"license": "3011381",
"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 Mar 27, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.