Individual provider Active NPI

Meredith N. Johnson, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1124564083
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012674 Issued in KY
Practice address
9080 Taylorsville Rd
Louisville, KY 40299-1750
Phone
(502) 491-8805
NPI assigned
Jan 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28197992A IN
Family Nurse Practitioner 363LF0000X 3012674 KY Primary

Addresses

Primary practice location

9080 Taylorsville Rd
Louisville, KY 40299-1750

Mailing address

PO Box 932958
Cleveland, OH 44193-0028
Phone (502) 873-1260

Other practice location 1

815 Highlander Point Dr
Floyds Knobs, IN 47119-9470
Phone (812) 923-7146

Other identifiers 2

IdentifierTypeStateIssuer
300000287MedicaidIN
IN1189162OtherININ MEDICARE

Other names 1

  • Meredith N. Basham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170217001840 IN Practitioner - Nurse Practitioner 4082997986 Reassigns benefits to 2 organizations
I20180925002436 KY Practitioner - Nurse Practitioner 4082997986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Clinic of in LLCGroup PAC ID 7719118447, 66 clinicians
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

1027 Jeffersonville Commons Dr
Jeffersonville, IN 47130-8395
Phone (812) 288-0011

9080 Taylorsville Rd
Louisville, KY 40299-1750
Phone (502) 499-9998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison County Hospital CurrentSince Dec 23, 2023 Accepting new patients
Harrison County Hospital CurrentSince Dec 23, 2023 Accepting new patients

Locations

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1263 Hospital Dr NW
Ste 260
Corydon, IN 47112
Phone (812) 738-6040

5300 State Road 64
Ste 103
Georgetown, IN 47122
Phone (812) 923-6200

Interoperability endpoints

  • Direct secure messaging: meredith.johnson@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1124564083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028",
            "telephone_number": "502-873-1260",
            "fax_number": "502-873-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 TAYLORSVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991750",
            "telephone_number": "502-491-8805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Highlander Point Dr",
            "address_purpose": "LOCATION",
            "city": "Floyds Knobs",
            "state": "IN",
            "postal_code": "471199470",
            "country_code": "US",
            "telephone_number": "812-923-7146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MEREDITH",
        "middle_name": "N.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28197992A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300000287",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN MEDICARE",
            "identifier": "IN1189162",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "BASHAM",
            "middle_name": "N.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.