NPIMap

Individual provider Active NPI

Klarisa Nicole Stoudemire, ARNP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1750619995
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006498 Issued in KY
Practice address
234 E Gray St Ste 154
Louisville, KY 40202-1903
Phone
(502) 629-2500
Fax
(502) 629-2055
NPI assigned
Nov 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3006498 KY Primary

Addresses

Primary practice location

234 E Gray St Ste 154
Louisville, KY 40202-1903

Mailing address

PO Box 776347
Chicago, IL 60677-6347
Phone (502) 588-9490

Other identifiers 6

IdentifierTypeStateIssuer
229581OtherKYSIHO
7100172130MedicaidKY
K008131OtherKYMEDICARE
300007238MedicaidIN
50132455OtherKYPASSPORT
000001092683OtherKYANTHEM

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kstoudemire61865@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000654 KY Practitioner - Nurse Practitioner 6103095492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

601 S Floyd St
Suite 700
Louisville, KY 40202-1845
Phone (502) 629-7181

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
60.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Aug 3, 2025 Accepting new patients
Norton Hospitals Inc Family CurrentSince Jul 17, 2017 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 3, 2025 Accepting new patients
Norton Hospitals, Inc Family CurrentSince Jul 17, 2017 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

4123 Dutchmans Ln
Ste 606
Louisville, KY 40207
Phone (502) 896-2500

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

601 S Floyd St
Ste 700
Louisville, KY 40202
Phone (502) 629-7181

Organizations & group practices 6

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1750619995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776347",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776347",
            "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": "234 E GRAY ST STE 154",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021903",
            "telephone_number": "502-629-2500",
            "fax_number": "502-629-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUDEMIRE",
        "first_name": "KLARISA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "229581",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100172130",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K008131",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300007238",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50132455",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001092683",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kstoudemire61865@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "3015 Wilson Ave",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402111969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "3015 Wilson Ave",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402111969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.