Individual provider Active NPI

Karen J Lewis, APRN

  • Adult Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1740504752
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1033592 Issued in KY
Practice address
12803 Ledges Dr
Louisville, KY 40243-2084
Phone
(502) 544-7627
NPI assigned
Mar 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1033592 KY Primary

Addresses

Primary practice location

12803 Ledges Dr
Louisville, KY 40243-2084

Mailing address

12803 Ledges Dr
Louisville, KY 40243-2084

Other practice location 1

4402 Churchman Ave
Suite 404
Louisville, KY 40215-1190
Phone (502) 366-0970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1033592KYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Pain Medicine & Rehabilitation Center, Inc PastSince Apr 1, 2008 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1740504752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12803 LEDGES DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12803 LEDGES DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432084",
            "telephone_number": "502-544-7627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4402 Churchman Ave",
            "address_2": "Suite 404",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402151190",
            "country_code": "US",
            "telephone_number": "502-366-0970",
            "fax_number": "502-367-3356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KAREN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "1033592",
            "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 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.