SHANNON GAGLIARDI APRN NPI 1063706075

NPI Information

  • NPI: 1063706075
  • Provider Name: SHANNON GAGLIARDI, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2109 CLUB VISTA PL
    LOUISVILLE, KY
    ZIP 40245
  • Phone: (502) 931-8331

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NPI Details

Shannon Gagliardi, APRN is a family nurse practitioner in Louisville, KY with 14 years of experience. Shannon Gagliardi, APRN NPI is 1063706075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2109 CLUB VISTA PL
LOUISVILLE, KY
ZIP 40245-224
Phone: (502) 931-8331
Fax: (502) 348-3275

The NPI 1063706075 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • New patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99327)
  • New patient home visit, typically 1 hour (HCPCS:99344)
  • New patient custodial care facility, group care, or assisted living visit, typically 45 minutes (HCPCS:99326)
  • Extended office or other outpatient service, first hour (HCPCS:99354)
  • New patient home visit, typically 45 minutes (HCPCS:99343)

The enumeration date for this NPI number is 6/7/2011 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily3006941KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100167440MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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