NPIMap

Individual provider Active NPI

Kaylan Autumn Ware, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1811568520
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4006283 Issued in KY
Practice address
3991 Dutchmans LN Ste 405
Louisville, KY 40207-4723
Phone
(502) 899-2673
NPI assigned
Jul 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Registered Nurse 163WX0200X 1158182 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4006283 KY Primary

Addresses

Primary practice location

3991 Dutchmans LN Ste 405
Louisville, KY 40207-4723

Mailing address

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

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
I20240112003868 KY Practitioner - Nurse Practitioner 2466803556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norton Hospitals, IncGroup PAC ID 9830001528, 137 clinicians

Practice addresses (Care Compare)

3991 Dutchmans LN
Suite 405
Louisville, KY 40207-4723
Phone (502) 899-2673

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1158182KYMDOncology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals Inc Psychiatric/Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Norton Hospitals, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

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

4955 Norton Healthcare Blvd
Fl 2
Louisville, KY 40241
Phone (502) 394-6350

2355 Poplar Level Rd
Ste 405
Louisville, KY 40217
Phone (502) 636-7845

3991 Dutchmans Ln
Ste 405
Louisville, KY 40207
Phone (502) 899-3366

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

Interoperability endpoints

  • Direct secure messaging: kware148121@direct.nortonhealthcare.org

Organizations & group practices 2

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": "1625270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1811568520",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3991 DUTCHMANS LN STE 405",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074723",
            "telephone_number": "502-899-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "KAYLAN",
        "middle_name": "AUTUMN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-03",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "KY",
            "license": "1158182",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4006283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.