Active NPI
Tristen Renea Reesor, APRN, FNP-C
- Family Nurse Practitioner
- Shepherdsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4040856
- Practice address
- 189 Adam Shepherd Pkwy Ste 14
Shepherdsville, KY 40165-6579 - Phone
- (502) 531-9823
- Fax
- (502) 215-6138
- NPI assigned
- May 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4040856 | KY | Primary |
Addresses
Primary practice location
189 Adam Shepherd Pkwy Ste 14
Shepherdsville, KY 40165-6579
Mailing address
PO Box 932958
Cleveland, OH 44193-0028
Other practice location 1
234 Eastbrooke Pkwy
Mount Washington, KY 40047-5600
Phone (502) 538-3050
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4350 Brownsboro Rd
Suite 200
Louisville, KY 40207-1681
Phone (248) 528-2116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4040856 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiosk Medicine Kentucky LLC | Family | Current | Accepting new patients |
| 360Care Services of Kentucky LLC | Current | Accepting new patients | |
| 360Care Services of Kentucky LLC | Current | Accepting new patients |
Locations
12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693
4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661
12910 Shelbyville Rd
Ste 110
Louisville, KY 40243
3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555
4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483
234 Eastbrooke Pkwy
Mt Washington, KY 40047
Phone (502) 538-1241
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Social Worker
- Louisville, KY
- NPI 1669113023
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1205885035
-
- Nurse Practitioner
- Louisville, KY
- NPI 1174394852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1962295212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932958",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 ADAM SHEPHERD PKWY STE 14",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401656579",
"telephone_number": "502-531-9823",
"fax_number": "502-215-6138"
}
],
"practiceLocations": [
{
"address_1": "234 Eastbrooke Pkwy",
"address_purpose": "LOCATION",
"city": "Mount Washington",
"state": "KY",
"postal_code": "400475600",
"country_code": "US",
"telephone_number": "502-538-3050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REESOR",
"first_name": "TRISTEN",
"middle_name": "RENEA",
"credential": "APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-28",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4040856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shepherdsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.