Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer L Gondoly, APRN

Individual provider Family Nurse Practitioner · NPI 1629540711

Jennifer L Gondoly, APRN is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2013, 13 years ago. Practices with Radiant, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
13
Licensed in
KY
In the registry since
2018
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2301 Terra Crossing Blvd Ste 103
Louisville, KY 40245-3909
Phone: (502) 410-0191
Fax: (502) 890-5177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3012156 (KY)

Record details

NPI number1629540711
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedDecember 30, 2018
Last updated in NPPESFebruary 16, 2025
Certification dateFebruary 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Radiant — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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