Individual provider Active NPI

Charity Faith Rummage

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1801644083
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4023908 Issued in KY
Practice address
6820 Enterprise Dr
Louisville, KY 40214-4305
Phone
(502) 890-2088
NPI assigned
May 11, 2024
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4023908 KY Primary
Registered Nurse 163W00000X 1156431 KY

Addresses

Primary practice location

6820 Enterprise Dr
Louisville, KY 40214-4305

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

Other practice location 1

5001 Mud Ln
Louisville, KY 40229-2870
Phone (502) 962-0710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240805003348 KY Practitioner - Nurse Practitioner 2264979590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1707 Cedar Grove Rd
Suite 10
Shepherdsville, KY 40165-8572
Phone (502) 543-3246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1156431KYMDRegistered Nurse
4023908KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jun 26, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Dec 19, 2024 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Dec 19, 2024 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

2401 Terra Crossing Blvd
Ste 100
Louisville, KY 40245
Phone (502) 244-0692

2746 Virginia Ave
Louisville, KY 40211
Phone (502) 772-1883

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

4423 Bardstown Rd
Louisville, KY 40218
Phone (502) 495-2400

5001 Mud Ln
Louisville, KY 40229
Phone (502) 962-0710

5129 Dixie Hwy
Louisville, KY 40216
Phone (502) 447-3242

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

1707 Cedar Grove Rd
Ste 10
Shepherdsville, KY 40165
Phone (502) 543-3246

Interoperability endpoints

  • Direct secure messaging: charity.rummage@krogerhealth.eclinicaldirectplus.com
  • Direct secure messaging: crummage55799@uoflhealth-dm.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1801644083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 ENTERPRISE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144305",
            "telephone_number": "502-890-2088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 Mud Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402292870",
            "country_code": "US",
            "telephone_number": "502-962-0710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUMMAGE",
        "first_name": "CHARITY",
        "middle_name": "FAITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4023908",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1156431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.