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

Shannon Gagliardi, APRN

Individual provider Family Nurse Practitioner · NPI 1063706075

Shannon Gagliardi, APRN is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
15
Licensed in
KY
In the registry since
2011
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

2109 Club Vista Pl
Louisville, KY 40245-5224
Phone: (502) 931-8331
Fax: (502) 348-3275
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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 3006941 (KY)

Record details

NPI number1063706075
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 7, 2011
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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