Individual provider Active NPI

Alicia Kristine-Pearl Seidl, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1992294037
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3011225 Issued in KY
Practice address
982 Eastern Pkwy
Louisville, KY 40217-1566
Phone
(502) 588-0700
Fax
(502) 588-7886
NPI assigned
May 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 3011225 KY Primary

Addresses

Primary practice location

982 Eastern Pkwy
Louisville, KY 40217-1566

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 272-5754

Other identifiers 1

IdentifierTypeStateIssuer
7100668340MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address apearl73896@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200625002872 KY Practitioner - Nurse Practitioner 8325460025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3011225KYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Childrens Medical Group, LLC Pediatrics CurrentSince Jul 1, 2020 Accepting new patients
Norton Children'S Medical Group, LLC Pediatrics Current Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Jul 1, 2020 Accepting new patients
Middletown Pediatrics PastSince Aug 11, 2019 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations (25 of 30)

6411 Veterans Memorial Pkwy
Ste 200
Crestwood, KY 40014
Phone (502) 394-6555

1301 Ring Rd
Elizabethtown, KY 42701
Phone (270) 765-2107

4 Physicians Park
Frankfort, KY 40601
Phone (502) 223-8400

202 Limestone St S
Ste 1A
Frankfort, KY 40601
Phone (502) 223-8400

202 Limestone St S
Ste 1
Frankfort, KY 40601

230 E Broadway
Louisville, KY 40202
Phone (502) 629-8901

3840 Ruckriegel Pkwy
Ste 105
Louisville, KY 40299
Phone (502) 261-7227

3026 Poplar Level Rd
Louisville, KY 40217
Phone (502) 636-4929

4420 Dixie Hwy
Ste 126
Louisville, KY 40216
Phone (502) 810-3780

982 Eastern Pkwy
Louisville, KY 40217
Phone (502) 595-4459

3991 Dutchmans Ln
Ste 205
Louisville, KY 40207
Phone (502) 899-6170

10211 Westport Rd
Louisville, KY 40241
Phone (502) 339-0444

7926 Preston Hwy
Ste 210
Louisville, KY 40219
Phone (502) 309-9811

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

9880 Angies Way
Ste 400
Louisville, KY 40241
Phone (502) 394-6500

1169 Eastern Pkwy
Ste 100
Louisville, KY 40217
Phone (502) 588-0700

5109 New Cut Rd
Louisville, KY 40214
Phone (502) 361-1197

189 Outer Loop
Ste 2
Louisville, KY 40214
Phone (502) 379-8870

4884 Brownsboro Rd
Louisville, KY 40207
Phone (502) 896-4459

5211 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 966-3918

5721 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-1144

4420 Dixie Hwy
Ste 114
Louisville, KY 40216
Phone (502) 449-6464

12955 Shelbyville Rd
#1
Louisville, KY 40243
Phone (502) 254-2223

1050 E Market St
Ste 101
Louisville, KY 40206
Phone (502) 588-8900

411 E Chestnut St
#1
Louisville, KY 40202
Phone (502) 588-3440

Interoperability endpoints

  • Direct secure messaging: apearl73896@direct.nortonhealthcare.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1992294037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-272-5754",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 EASTERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171566",
            "telephone_number": "502-588-0700",
            "fax_number": "502-588-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDL",
        "first_name": "ALICIA",
        "middle_name": "KRISTINE-PEARL",
        "credential": "APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3011225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100668340",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apearl73896@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "982 Eastern Pkwy",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "982 Eastern Pkwy",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.