Individual provider Active NPI

Fernanda Souza Tripure, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1720621311
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009538A Issued in IN
Practice address
3039 Breckenridge LN
Louisville, KY 40220-2101
Phone
(812) 941-3080
NPI assigned
Oct 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 71009538A IN Primary
Family Nurse Practitioner 363LF0000X 3015623 KY

Addresses

Primary practice location

3039 Breckenridge LN
Louisville, KY 40220-2101

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Other practice location 1

200 New Albany Plz
New Albany, IN 47150-4658
Phone (812) 941-3080

Other names 1

  • Fernanda F Carvalho de Souza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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
I20191115000411 IN Practitioner - Nurse Practitioner 3476985318 Reassigns benefits to 2 organizations
I20210115002100 KY Practitioner - Nurse Practitioner 3476985318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd Emergency Medicine Associates PCGroup PAC ID 8921172255, 3 clinicians

Practice addresses (Care Compare)

1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71009538AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Oct 7, 2020 Accepting new patients
Floyd Emergency Medicine Associates PC CurrentSince Jul 8, 2023 Accepting new patients
Little Clinic of in LLC Family CurrentSince Nov 20, 2019 Accepting new patients

Locations

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

200 New Albany Plz
New Albany, IN 47150
Phone (812) 941-3080

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

5533 New Cut Rd
Louisville, KY 40214
Phone (502) 361-7238

Interoperability endpoints

  • Direct secure messaging: fernanda.tripure@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1720621311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202101",
            "telephone_number": "812-941-3080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 New Albany Plz",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504658",
            "country_code": "US",
            "telephone_number": "812-941-3080",
            "fax_number": "812-941-3081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIPURE",
        "first_name": "FERNANDA",
        "middle_name": "SOUZA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009538A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FERNANDA",
            "last_name": "CARVALHO DE SOUZA",
            "middle_name": "F",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.