Individual provider Active NPI

Katelynn Marie Herl, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1710686803
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4037076 Issued in KY
Practice address
10400 Dixie Hwy Ste 103
Louisville, KY 40272-5913
Phone
(504) 409-4013
NPI assigned
Feb 27, 2023
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4037076 KY
Family Nurse Practitioner 363LF0000X 4037076 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4037076 KY Primary

Addresses

Primary practice location

10400 Dixie Hwy Ste 103
Louisville, KY 40272-5913

Mailing address

11411 Expedition TRL
Louisville, KY 40291-5068
Phone (502) 777-7064

Other names 1

  • Katelynn Marie Alvey Former name

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
I20250918000189 KY Practitioner - Nurse Practitioner 4587105291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradley Recovery CenterGroup PAC ID 8820596380, 4 clinicians

Practice addresses (Care Compare)

10400 Dixie Hwy
Suite 103
Louisville, KY 40272-5913
Phone (502) 409-4013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4037076KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Recovery Center Multi-Specialty CurrentSince Aug 28, 2025 Accepting new patients

Locations

10400 Dixie Hwy
Ste 103
Louisville, KY 40272
Phone (502) 409-4013

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, 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": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1710686803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 EXPEDITION TRL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402915068",
            "telephone_number": "502-777-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 DIXIE HWY STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402725913",
            "telephone_number": "504-409-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERL",
        "first_name": "KATELYNN",
        "middle_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4037076",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4037076",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4037076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYNN",
            "last_name": "ALVEY",
            "middle_name": "MARIE",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.