Individual provider Active NPI

Amy L. Doolittle-Crider, ARNP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1790018513
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6114P Issued in KY
Practice address
2360 Stony Brook Dr
Louisville, KY 40220-4018
Phone
(502) 446-5462
Fax
(502) 394-3670
NPI assigned
Sep 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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 6114P KY Primary

Addresses

Primary practice location

2360 Stony Brook Dr
Louisville, KY 40220-4018

Mailing address

8 Cadillac Dr
Ste. 250
Brentwood, TN 37027-5087
Phone (615) 425-4200

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address adoolittlecrider154010@direct.nortonhealthcare.org Direct
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20091026000170 KY Practitioner - Nurse Practitioner 0143367094 Reassigns benefits to 1 organization
I20260402000893 IN Practitioner - Nurse Practitioner 0143367094 Reassigns benefits to 1 organization

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)

220 E Lewis and Clark Pkwy
Norton Prompt Care
Clarksville, IN 47129-1724
Phone (812) 280-5315

2360 Stony Brook Dr
Louisville, KY 40220-4018
Phone (502) 446-5462

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6114PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Family Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Community Medical Associates, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

220 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 280-5315

2360 Stony Brook Dr
Louisville, KY 40220
Phone (502) 446-5462

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

Interoperability endpoints

  • Direct secure messaging: adoolittlecrider154010@direct.nortonhealthcare.org
  • Direct secure messaging: amy.doolittlecrider@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 4

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": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1790018513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CADILLAC DR",
            "address_2": "STE. 250",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275087",
            "telephone_number": "615-425-4200",
            "fax_number": "615-425-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 STONY BROOK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204018",
            "telephone_number": "502-446-5462",
            "fax_number": "502-394-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLITTLE-CRIDER",
        "first_name": "AMY",
        "middle_name": "L.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6114P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adoolittlecrider154010@direct.nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2360 Stony Brook Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402204018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2360 Stony Brook Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402204018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.