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CAROL LYNN CASSEDY DNP, APRN
NPI 1164192209
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Active since September 20, 2021
4418 MALCOLM AVE, LOUISVILLE, KY 40215(480) 261-2005 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 22, 2021, Oct 5, 2021, Sep 20, 2021 (3 updates tracked since 2021).

About Carol Lynn Cassedy Dnp, Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROL LYNN CASSEDY DNP, APRN (NPI 1164192209) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Kentucky (3014760) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1164192209
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCAROL LYNN CASSEDYCredential: DNP, APRN
Location Address4418 MALCOLM AVELouisville, KY 40215-1122
Mailing Address720 Cool Springs Blvd Ste 500Franklin, TN 37067-7259 · (480) 261-2005
Phone(480) 261-2005
Sole ProprietorNo
Enumeration DateSeptember 20, 2021
Last NPPES UpdateOctober 22, 20213 updates tracked since enumeration
NPPES CertifiedOctober 22, 2021
✔ NPI 1164192209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 3014760
Also ListedPsychologistTaxonomy 103T00000X · License 1140860 (KY)
4418 MALCOLM AVE, Louisville, KY 40215
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Other Names 1

Professional Name (2)Dr. Carol Lynn Cassedy

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRAXIS RECOVERY LLC
Substance Abuse Rehabilitation Facility
4418 MALCOLM AVE
LOUISVILLE, KY 40215
Jefferson County (888) 448-0302
LANDMARK RECOVERY OF KENTUCKY LLC
Substance Abuse Rehabilitation Facility
4418 MALCOLM AVE
LOUISVILLE, KY 40215
Jefferson County (502) 713-7017
ALARIC AARON MOORE
Social Worker
4418 MALCOLM AVE
LOUISVILLE, KY 40215
Jefferson County (502) 215-8521
4418 MALCOLM AVENUE OPS LLC
Substance Abuse Rehabilitation Facility
4418 MALCOLM AVE
LOUISVILLE, KY 40215
Jefferson County (502) 713-7017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Cassedy's NPI number?

The NPI number for Carol Cassedy is 1164192209. It was assigned to this individual provider in the NPPES registry on September 20, 2021. The provider is also known as Dr. Carol Lynn Cassedy.

Where is Carol Cassedy located?

Carol Cassedy practices at 4418 Malcolm Ave, Louisville, KY 40215. The listed phone number is (480) 261-2005.

What is Carol Cassedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Carol Cassedy was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.