Active NPI
Patricia L Gates, ARNP, BSN
- Women's Health Nurse Practitioner
- Louisville, KY
National Provider Identifier
1922039536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 2238P
- Practice address
- 401 E Chestnut St
Suite 410
Louisville, KY 40202-5700 - Phone
- (502) 271-5999
- Fax
- (502) 271-5994
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 2238P | KY | Primary |
Addresses
Primary practice location
401 E Chestnut St
Suite 410
Louisville, KY 40202-5700
Mailing address
550 S Jackson St FL ST2
Dept OB/GYN Att: Vicki Masterson
Louisville, KY 40202-1622
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000542620 | Other | KY | ANTHEM FOUNDATIN |
| 50012467 | Other | KY | PASSPORT-SPECIALTY PSC |
| 000000045421 | Other | KY | ANTHEM PSC |
| 50012470 | Other | KY | PASSPORT- PCP FOUNDATION |
| 78017274 | Medicaid | KY | |
| 50012469 | Other | KY | PASSPORT-SPECIALITY FOUNDATION |
| 200410210 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2238 | KY | MD | Physical Therapist |
| 2238P | KY | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1922039536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S JACKSON ST FL ST2",
"address_2": "DEPT OB/GYN ATT: VICKI MASTERSON",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E CHESTNUT ST",
"address_2": "SUITE 410",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402025700",
"telephone_number": "502-271-5999",
"fax_number": "502-271-5994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "PATRICIA",
"middle_name": "L",
"credential": "ARNP, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "KY",
"license": "2238P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM FOUNDATIN",
"identifier": "000000542620",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT-SPECIALTY PSC",
"identifier": "50012467",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PSC",
"identifier": "000000045421",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT- PCP FOUNDATION",
"identifier": "50012470",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78017274",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT-SPECIALITY FOUNDATION",
"identifier": "50012469",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200410210",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.