Individual provider Active NPI

Mary Sasser, RN

  • Registered Nurse
  • Shelbyville, KY
National Provider Identifier
1982324521
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1105839 Issued in KY
Practice address
3409 Morning CT
Shelbyville, KY 40065-7392
Phone
(502) 529-6015
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1105839 KY Primary

Addresses

Primary practice location

3409 Morning CT
Shelbyville, KY 40065-7392

Mailing address

3409 Morning CT
Shelbyville, KY 40065-7392
Phone (502) 529-6015

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 5025296015

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1105839KYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1982324521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 MORNING CT",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400657392",
            "telephone_number": "502-529-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 MORNING CT",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400657392",
            "telephone_number": "502-529-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSER",
        "first_name": "MARY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1105839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "5025296015",
            "affiliation": "N",
            "address_1": "3409 Morning Ct",
            "city": "Shelbyville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400657392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.