Katie Sutherland

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4038586 Issued in KY

Practice address

12204 Shelbyville Rd
Middletown, KY 40243-1450

Phone

(502) 200-5228

NPI assigned

May 6, 2025

Last updated

Sep 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sage Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
  • NPI 1215652862
  Medicare reassignment NPD
• Best Life Mental Health Services LLC

  • Community/Behavioral Health Agency
  • Louisville, KY
  • NPI 1417564220
  NPD (past)

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1902695786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12116 BAY RUN DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402456402",
            "telephone_number": "502-802-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12204 SHELBYVILLE RD",
            "city": "MIDDLETOWN",
            "state": "KY",
            "postal_code": "402431450",
            "telephone_number": "502-200-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "KATIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4038586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan D Senters, PHARMD
• Dawn Michele Sheehan, APRN, FNP-C
• Danielle Smith, APRN
• Stacy M Sowell, LPCA
• Steven C. Applegate PSC
• Elizabeth Tamminga, D.C.
• Sujata Tungare
• Wal-Mart Stores East LP (Walmart Pharmacy 10-4450)
• Walgreen Co (Walgreens #03677)
• Cassandra White, OTR/L

• Psychiatric/Mental Health Nurse Practitioner in Middletown, KY
• Providers in Middletown, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.