Individual provider Active NPI

Kristi Mahaffey Nord, M.D.

  • Neurology Physician
  • Louisville, KY
National Provider Identifier
1790931301
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
43860 Issued in KY
Practice address
401 E Chestnut St Unit 510
Louisville, KY 40202-5710
Phone
(502) 588-4800
Fax
(502) 588-4801
NPI assigned
Aug 14, 2008
Last updated
Mar 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01071049A IN
Neurology Physician 2084N0400X BP20030277 TX
Neurology Physician 2084N0400X 43860 KY Primary

Addresses

Primary practice location

401 E Chestnut St Unit 510
Louisville, KY 40202-5710

Mailing address

PO Box 909
Louisville, KY 40201-0909

Other identifiers 8

IdentifierTypeStateIssuer
000057058SOtherKYHUMANA - NNS
7100144920MedicaidKY
000000689395OtherKYANTHEM - NNS
50031018OtherKYPASSPORT & PP ADVTG - NNS
6214811OtherKYCIGNA - NNS
P00889607OtherKYMEDICARE RAILROAD KENTUCKY - NNS
121031OtherKYSIHO - NNS
201010010MedicaidIN

Other names 1

  • Miss Kristi Elizabeth Mahaffey Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120618000322 KY Practitioner - Neurology 0547459638 Reassigns benefits to 2 organizations
I20120620000434 IN Practitioner - Neurology 0547459638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Pennsylvania State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

303 N Meridian St
Holland Family Medicine
Holland, IN 47541-9656
Phone (812) 536-3943

600 W 13TH St
Jasper, IN 47546-1881
Phone (812) 996-5781

600 W 13TH St
205 Memorial Neurology Associates
Jasper, IN 47546-1883
Phone (812) 996-5781

800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 996-0188

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP20030277TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Neurology CurrentSince Jun 1, 2014 Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Community Medical Associates, Inc. CurrentSince May 24, 2012 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Dec 29, 2025 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jun 1, 2014 Accepting new patients
University of Louisville Physicians, Inc. Neurology Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Jul 1, 2012 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Jul 1, 2012 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Dec 29, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince May 24, 2012 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

600 W 13th St
Jasper, IN 47546
Phone (812) 482-7441

600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

401 E Chestnut St
Louisville, KY 40202
Phone (502) 588-4400

401 E Chestnut St
Unit 510
Louisville, KY 40202
Phone (502) 588-4800

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

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

Interoperability endpoints

  • Direct secure messaging: knord@direct.mhhcc.org
  • Direct secure messaging: knord1051928@direct.deaconess.com

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Deaconess Memorial Medical Center IncJasper, IN, CCN 150115 Hospital Corporate Director Jan 1, 2024
Martin County Health CenterShoals, IN, CCN 153860 Rural health clinic Corporate Director Jan 1, 2024
French Lick Family MedicineFrench Lick, IN, CCN 158507 Rural health clinic Corporate Director Jan 1, 2024
Loogootee Family MedicineLoogootee, IN, CCN 158508 Rural health clinic Corporate Director Jan 1, 2024
Country Health CenterMontgomery, IN, CCN 153871 Rural health clinic Corporate Director Jan 1, 2024
Petersburg Family MedicinePetersburg, IN, CCN 153872 Rural health clinic Corporate Director Jan 1, 2024

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1790931301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST UNIT 510",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025710",
            "telephone_number": "502-588-4800",
            "fax_number": "502-588-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORD",
        "first_name": "KRISTI",
        "middle_name": "MAHAFFEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01071049A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "BP20030277",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "43860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA - NNS",
            "identifier": "000057058S",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100144920",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - NNS",
            "identifier": "000000689395",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT & PP ADVTG - NNS",
            "identifier": "50031018",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA - NNS",
            "identifier": "6214811",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD KENTUCKY - NNS",
            "identifier": "P00889607",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO - NNS",
            "identifier": "121031",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201010010",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "MAHAFFEY",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.