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

Tracy Dawn Weatherly, APRN-C

Individual provider Family Nurse Practitioner · NPI 1194574590

Tracy Dawn Weatherly, APRN-C is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2023, 3 years ago. Practices with Kiosk Medicine Kentucky LLC, a 171-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2024
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Practice location Address checks out

2440 Bardstown Rd
Louisville, KY 40205-2123
Phone: (502) 632-0984
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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 4018756 (KY)

Record details

NPI number1194574590
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-C
Sole proprietorNo
NPI enumeratedMay 16, 2024
Last updated in NPPESMay 16, 2024
Certification dateApril 15, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Kiosk Medicine Kentucky Llc — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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