Individual provider Active NPI

Alisha Nicole Roethemeyer, APRN

  • Gerontology Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1841062544
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4009904 Issued in KY
Practice address
6200 Dutchmans LN
Louisville, KY 40205-3269
Phone
(502) 456-6200
Fax
(502) 456-6655
NPI assigned
Oct 25, 2023
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4009904 KY
Adult Health Nurse Practitioner 363LA2200X 4009904 KY
Gerontology Nurse Practitioner 363LG0600X 4009904 KY Primary

Addresses

Primary practice location

6200 Dutchmans LN
Louisville, KY 40205-3269

Mailing address

6200 Dutchmans LN
Louisville, KY 40205-3269
Phone (502) 456-6200

Other practice location 1

6200 Dutchmans Ln Ste 200
Louisville, KY 40205-3285
Phone (502) 456-3500

Other practice location 2

1733 Harrodsburg Rd
Lexington, KY 40504-3617
Phone (855) 492-0812

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aroethemeyer@pallitus.org
Direct Messaging Address amitchell@bgcarenav.org

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
I20231121003515 KY Practitioner - Nurse Practitioner 4082062575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care Center of the Bluegrass Inc. Adult Health CurrentSince Nov 6, 2023 Accepting new patients
Hospice of the Bluegrass, Inc Adult Health Past Accepting new patients

Locations

1733 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 276-5344

Interoperability endpoints

  • Direct secure messaging: amitchell316878@ukhcdirect.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, 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": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1841062544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053269",
            "telephone_number": "502-456-6200",
            "fax_number": "270-326-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053269",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Dutchmans Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402053285",
            "country_code": "US",
            "telephone_number": "502-456-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1733 Harrodsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043617",
            "country_code": "US",
            "telephone_number": "855-492-0812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROETHEMEYER",
        "first_name": "ALISHA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4009904",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "4009904",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "4009904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aroethemeyer@pallitus.org",
            "affiliation": "N",
            "address_1": "6200 Dutchmans Ln",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amitchell@bgcarenav.org",
            "affiliation": "N",
            "address_1": "1733 Harrodsburg Rd",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405043617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.