Active NPI
Fernanda Souza Tripure, APRN
- Family Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71009538A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71009538A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiosk Medicine Kentucky LLC | Family | Current | Accepting new patients |
| Floyd Emergency Medicine Associates PC | Current | Accepting new patients | |
| Little Clinic of in LLC | Family | Current | 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
- 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.
-
- Emergency Medicine Physician
- New Albany, IN
- NPI 1194869255
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1205885035
-
- Family Nurse Practitioner
- Floyds Knobs, IN
- NPI 1558791384
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Floyd
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.