Individual provider Active NPI

Dana Lynn Sears, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1992777825
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN3004056 Issued in KY
Practice address
3101 Breckenridge LN Ste 2a
Louisville, KY 40220-2742
Phone
(502) 454-6000
Fax
(502) 454-6002
NPI assigned
Feb 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3004056 KY
Nurse Practitioner 363L00000X APN3004056 KY Primary

Addresses

Primary practice location

3101 Breckenridge LN Ste 2a
Louisville, KY 40220-2742

Mailing address

3617 Sumerlin Dr
Buckner, KY 40010-8815
Phone (502) 648-3111

Other identifiers 1

IdentifierTypeStateIssuer
78017530MedicaidKY

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
I20050912000535 KY Practitioner - Nurse Practitioner 3476586421 Reassigns benefits to 1 organization
Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3101 Breckenridge LN
Suite 2a
Louisville, KY 40220-2742
Phone (502) 454-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN3004056KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Leider MD PLLC CurrentSince Apr 1, 2015 Accepting new patients
Cardinal Health Care and Rehabilitation Center, Inc Past Accepting new patients

Organizations & group practices 2

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": "1139011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1992777825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 SUMERLIN DR",
            "city": "BUCKNER",
            "state": "KY",
            "postal_code": "400108815",
            "telephone_number": "502-648-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BRECKENRIDGE LN STE 2A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202742",
            "telephone_number": "502-454-6000",
            "fax_number": "502-454-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-04",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3004056",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "APN3004056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78017530",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.