Individual provider Active NPI

Yudel Blanco Alejo, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1912715731
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4033218 Issued in KY
Practice address
300 Shelby Station Dr
Louisville, KY 40245-4186
Phone
(502) 254-0009
NPI assigned
Dec 26, 2024
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4033218 KY Primary

Addresses

Primary practice location

300 Shelby Station Dr
Louisville, KY 40245-4186

Mailing address

8011 Northern Spy Dr
Louisville, KY 40228-2252

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
I20250124001548 KY Practitioner - Nurse Practitioner 7719416494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. Nair Internal Medicine, PLLCGroup PAC ID 7517955081, 15 clinicians

Practice addresses (Care Compare)

8442 Dixie Hwy
Louisville, KY 40258-1140
Phone (502) 638-4280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4033218KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Nair Internal Medicine, PLLC CurrentSince May 1, 2025 Accepting new patients
Kentuckiana Geriatric and Palliative Services PLLC Family CurrentSince Jan 1, 2025 Accepting new patients

Locations

1705 Herr Ln
Louisville, KY 40222
Phone (502) 426-5600

1801 Lynn Way
Louisville, KY 40222
Phone (502) 426-4513

300 Shelby Station Dr
Louisville, KY 40245
Phone (502) 254-0009

8442 Dixie Hwy
Louisville, KY 40258
Phone (502) 286-4644

1877 Farnsley Rd
Shively, KY 40216
Phone (502) 262-7929

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": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1912715731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 NORTHERN SPY DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402282252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SHELBY STATION DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454186",
            "telephone_number": "502-254-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO ALEJO",
        "first_name": "YUDEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-26",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4033218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.