MEDICARE: KATIE ELIZABETH WALTRIP DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	4034234	KY

General Provider Information

NPI Number	:	1437963832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE ELIZABETH WALTRIP DNP

Provider Business Mailing Address
First Line	:	2527 NELSON MILLER PKWY STE 105
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-3164
Country	:	US
Telephone Number	:	502-225-3299
Fax Number	:

Provider Business Practice Location Address
First Line	:	2527 NELSON MILLER PKWY STE 105
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-3164
Country	:	US
Telephone Number	:	502-225-3299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2025
Last Update Date	:	05/19/2026

Similar Medicare Providers

1275359960 — TINA YOST
Practice Location Address:

2527 NELSON MILLER PKWY STE 106
LOUISVILLE, KY
40223-3164

Practice Phone: 502-530-0366
Practice Fax:

1568263069 — YVONNE OWEN
Practice Location Address:

2550 EASTPOINT PKWY STE 210
LOUISVILLE, KY
40223-4128

Practice Phone: 502-975-2960
Practice Fax: 502-290-1931

1568102093 — SOFIA ZULLI LPCC
Practice Location Address:

2550 EASTPOINT PKWY STE 210
LOUISVILLE, KY
40223-4128

Practice Phone: 502-975-2960
Practice Fax:

1093376584 — ASHANTI PEPPERS
Practice Location Address:

1015 DORSEY LN
LOUISVILLE, KY
40223-2612

Practice Phone: 708-768-1359
Practice Fax:

1215517404 — AUTUMN FAITH SHUTT APRN
Practice Location Address:

10602 TIMBERWOOD CIR STE 3
LOUISVILLE, KY
40223-5367

Practice Phone: 502-427-0558
Practice Fax: 502-659-1453

1366011264 — DR. BLAKE HOUSTON FARRAR DO
Practice Location Address:

2400 EASTPOINT PKWY STE 410
LOUISVILLE, KY
40223-4154

Practice Phone: 502-253-6625
Practice Fax: 502-253-6629

Directions to “ KATIE ELIZABETH WALTRIP DNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.