Individual provider Active NPI

Beth Glass

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1962952515
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010777 Issued in KY
Practice address
9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812
Phone
(866) 934-7450
NPI assigned
Oct 6, 2016
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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 3010777 KY Primary

Addresses

Primary practice location

9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other practice location 1

1154A Lexington Rd
Georgetown, KY 40324-9330
Phone (866) 934-7450

Other practice location 2

140 Whittington Pkwy Ste 100
Louisville, KY 40222-4930
Phone (502) 327-9100

Other practice location 3

2202 Mlk Jr Blvd
Paris, KY 40361-1281
Phone (866) 934-7450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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

Enrollment IDStateProvider typePAC IDDetails
I20161031001717 KY Practitioner - Nurse Practitioner 9739467473 Reassigns benefits to 3 organizations
I20180523000442 IN Practitioner - Nurse Practitioner 9739467473 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3010777KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Feb 19, 2018 Accepting new patients
FC Indiana, LLC CurrentSince May 1, 2018 Accepting new patients
Brightview, LLC CurrentSince Dec 1, 2022 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Feb 19, 2018 Accepting new patients
FC Indiana, LLC CurrentSince May 1, 2018 Accepting new patients
Recovery Now Holdings LLC CurrentSince Aug 1, 2024 Accepting new patients
Brightview LLC CurrentSince Dec 1, 2022 Accepting new patients
Commonwealth Community Care Centers, LLC Family Past Accepting new patients
Recovery Now LLC PastSince Nov 6, 2022 Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

1202 E Tipton St
Seymour, IN 47274
Phone (812) 627-4933

301 Versailles Rd
Frankfort, KY 40601
Phone (502) 352-2310

1154A Lexington Rd
Georgetown, KY 40324
Phone (502) 868-0008

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

2312 S Preston St
Unit 17567
Louisville, KY 40217

3705 Bells Ln
Louisville, KY 40211
Phone (502) 271-8268

3934 Dixie Hwy
Ste 210
Louisville, KY 40216
Phone (502) 287-6000

9702 Stonestreet Rd
Ste 120
Louisville, KY 40272
Phone (502) 749-6249

506 N Main St
Nicholasville, KY 40356
Phone (859) 887-3712

2202 Martin Luther King Jr Blvd
Paris, KY 40361
Phone (833) 510-5173

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800

Organizations & group practices 9

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": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1962952515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9702 STONESTREET RD STE 120",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402726812",
            "telephone_number": "866-934-7450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1154A Lexington Rd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249330",
            "country_code": "US",
            "telephone_number": "866-934-7450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Whittington Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402224930",
            "country_code": "US",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2202 Mlk Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "KY",
            "postal_code": "403611281",
            "country_code": "US",
            "telephone_number": "866-934-7450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.