Individual provider Active NPI

Brianna Sue Redman, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Prospect, KY
National Provider Identifier
1700471174
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015929 Issued in KY
Practice address
9217 US Highway 42 Ste E
Prospect, KY 40059-8854
Phone
(502) 228-1312
Fax
(502) 228-5541
NPI assigned
Mar 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3015929 KY Primary
Pediatric Nurse Practitioner 363LP0200X F03210319 KY

Addresses

Primary practice location

9217 US Highway 42 Ste E
Prospect, KY 40059-8854

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Other practice location 1

9217 US Highway 42 Ste E
Prospect, KY 40059-8854
Phone (502) 228-1312

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
I20240313004574 KY Practitioner - Nurse Practitioner 3476999350 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3015929KYMDFamily Nurse Practitioner
F03210319KYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC CurrentSince Feb 1, 2024 Accepting new patients
Norton Children's Medical Group, LLC Pediatrics CurrentSince Feb 1, 2024 Accepting new patients
Norton Children's Medical Group, LLC Pediatrics Current Accepting new patients
Norton Childrens Medical Group, LLC Family Past Accepting new patients
Norton Children's Medical Group, LLC Pediatrics Past Accepting new patients

Locations

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

9217 US Highway 42
Ste E
Prospect, KY 40059
Phone (502) 228-1312

Interoperability endpoints

  • Direct secure messaging: bredman61496@direct.nortonhealthcare.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1700471174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 US HIGHWAY 42 STE E",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400598854",
            "telephone_number": "502-228-1312",
            "fax_number": "502-228-5541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9217 US Highway 42 Ste E",
            "address_purpose": "LOCATION",
            "city": "Prospect",
            "state": "KY",
            "postal_code": "400598854",
            "country_code": "US",
            "telephone_number": "502-228-1312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMAN",
        "first_name": "BRIANNA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-07",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015929",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "F03210319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

Verify at the official NPI Registry.