Paula D. Elliott, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3004939 Issued in KY

Practice address

3999 Dutchmans LN Ste 4a
Louisville, KY 40207-4745

Phone

(502) 365-2655

Fax

(502) 365-2770

NPI assigned

Aug 30, 2006

Last updated

Jul 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, MI2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluegrass Kidney Consultants PSCGroup PAC ID 0840357646, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CGGBBA

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.

• Bluegrass Kidney Consultants PSC

  • Nephrology Physician
  • Louisville, KY
  • NPI 1558500918

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Don R Duff

  dba The Kidney Speicalists of Kentuckiana PLLC

  • Nephrology Physician
  • Louisville, KY
  • NPI 1073000246

  Nurse Practitioner

  Medicare reassignment NPD
• Molina Care Connections, LLC.

  dba Molina CC

  • Nurse Practitioner
  • Long Beach, CA
  • NPI 1407243223

  KY, MI

  Medicare reassignment NPD
• Strauss Family Practice, LLC

  • Rural Health Clinic/Center
  • Richmond, KY
  • NPI 1083656268
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1952411068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LN STE 4A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LN STE 4A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074745",
            "telephone_number": "502-365-2655",
            "fax_number": "502-365-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3999 Dutchmans Ln Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074745",
            "country_code": "US",
            "telephone_number": "502-365-2655",
            "fax_number": "502-365-2770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "PAULA",
        "middle_name": "D.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3004939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78017068",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory S Elliott, M.D.
• Kathryn Elizabeth Elliott, MPH
• Logan Fuller-Brittain Elliott, MD
• Mitchell Forbes Elliott, M.D.
• Mya Antonya Elliott
• Rebecca Louise Elliott, LPCC
• Sharon Elliott
• Ellis & Badenhausen Orthopaedics, PSC
• Ellis & Badenhausen Orthopaedics, PSC
• Ellis & Badenhausen Orthopaedics, PSC

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.