1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Nurse Practitioner
  6. NPI Profile

NEPHROLOGY ASSOCIATES OF KENTUCKIANA PSC
NPI 1164764205
Nurse Practitioner in Louisville, KY

Active since March 26, 2013CLIA Certified · 6 labs
6400 DUTCHMANS PKWY, SUITE 250, LOUISVILLE, KY 40205(502) 587-9660(502) 540-5615 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nephrology Associates Of Kentuckiana Psc NPPES

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

NEPHROLOGY ASSOCIATES OF KENTUCKIANA PSC (NPI 1164764205) is a healthcare organization registered as a nurse practitioner in Louisville, Kentucky and active in the NPI registry since March 2013. The organization holds 6 active CLIA laboratory certificates and lists Debra Lynn Roos, Billing Department Manager, as its authorized official.

NPPES Registry Identity

NPI1164764205
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameNEPHROLOGY ASSOCIATES OF KENTUCKIANA PSC
Location Address6400 DUTCHMANS PKWY, SUITE 250Louisville, KY 40205-3340
Mailing Address6400 Dutchmans Pkwy, Suite 250Louisville, KY 40205-3340 · (502) 587-9660 · Fax (502) 540-5615
Phone(502) 587-9660
Fax(502) 540-5615
Organization SubpartNo
Authorized OfficialDebra Lynn RoosBilling Department Manager · (502) 587-9660
Enumeration DateMarch 26, 2013
Last NPPES UpdateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
✔ NPI 1164764205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

6400 DUTCHMANS PKWY, Louisville, KY 40205
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100089380KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2131613

Nephrology Associates Of Kentuckiana Psc Attn Ms C Vincent · Louisville, KY
Active · expires Jun 1, 2027
CLIA Number18D2131613
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorRamsey N. Nassar
Laboratory Phone(502) 587-9660
Laboratory LocationNephrology Associates Of Kentuckiana Psc Attn Ms C Vincent6400 Dutchmans Parkway Ste 250, Louisville, KY 40205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D0320893

Nephrology Associates Of Kentuckiana · Louisville, KY
Active · expires Feb 20, 2027
CLIA Number18D0320893
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorDr. Ramsey N. Nassar
Laboratory Phone(502) 587-9660
Laboratory LocationNephrology Associates Of Kentuckiana6400 Dutchmans Parkway, Suite 250 Attn Bryan Chapman, Louisville, KY 40205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 18D2131614

Nephrology Associates Of Kentuckiana Psc · Frankfort, KY
Active · expires Jun 1, 2027
CLIA Number18D2131614
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorRamsey N. Nassar
Laboratory Phone(502) 587-9660
Laboratory LocationNephrology Associates Of Kentuckiana Psc608 Chamberlin Ave, Frankfort, KY 40601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2050320

Nephrology Associates Of Kentuckiana, Psc · Campbellsville, KY
Active · expires Oct 20, 2026
CLIA Number18D2050320
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorDr. Alexander Y. Afanasyev
Laboratory Phone(502) 587-9660
Laboratory LocationNephrology Associates Of Kentuckiana, Psc107 Medical Park Drive, Campbellsville, KY 42718
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2046528

Nephrology Associates Of Kentuckiana, Psc · Corydon, IN
Active · expires Sep 5, 2026
CLIA Number15D2046528
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorSami Tammo
Laboratory Phone(502) 587-9660
Laboratory LocationNephrology Associates Of Kentuckiana, Psc313 Federal Drive NW Suite 140, Corydon, IN 47112
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D1030020

Nephrology Associates Of Kentuckiana, Psc · New Albany, IN
Active · expires Aug 29, 2026
CLIA Number15D1030020
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorAmit Rai
Laboratory Phone(502) 587-9660
Laboratory LocationNephrology Associates Of Kentuckiana, Psc1919 State St Ste 444, New Albany, IN 47150
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. RAMSEY NASRI NASSAR MD
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Jefferson County (502) 587-9660
DR. THOMAS MATTHEW GABRIEL M.D.
Orthopaedic Surgery (Hand Surgery)
6400 DUTCHMANS PKWY, STE 215
LOUISVILLE, KY 40205
Jefferson County (502) 721-8288
DR. SHARI ROSENBERG GABRIEL M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
6400 DUTCHMANS PKWY, STE 215
LOUISVILLE, KY 40205
Jefferson County (502) 721-8288
DR. KAREN MARIE ERBECK MD
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Jefferson County (502) 587-9660
DR. KEITH WELLINGTON MYRICK D.P.M.
Podiatrist (Foot & Ankle Surgery)
6400 DUTCHMANS PKWY, SUITE 215
LOUISVILLE, KY 40205
Jefferson County (502) 721-8288
DR. TARIQ MUHAMMAD M.D.
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, SUITE 250
LOUISVILLE, KY 40205
Jefferson County (502) 587-9660
KRISTINA LEIGH DAWSON APRN
Nurse Practitioner (Family)
6400 DUTCHMANS PKWY, SUITE 250
LOUISVILLE, KY 40205
Jefferson County (502) 587-9660
DR. DAVID HILL GOLDSTEIN MD
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Jefferson County (502) 587-9660

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 Nephrology Associates Of Kentuckiana Psc's NPI number?

The NPI number for Nephrology Associates Of Kentuckiana Psc is 1164764205. It was assigned to this organization in the NPPES registry on March 26, 2013.

Where is Nephrology Associates Of Kentuckiana Psc located?

Nephrology Associates Of Kentuckiana Psc is located at 6400 Dutchmans Pkwy Suite 250, Louisville, KY 40205. The listed phone number is (502) 587-9660.

What is Nephrology Associates Of Kentuckiana Psc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Nephrology Associates Of Kentuckiana Psc hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Nephrology Associates Of Kentuckiana Psc was last updated on August 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.