Individual provider Active NPI

Elizabeth Taheny, APRN, FNP-C

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1255804209
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1112333 Issued in KY
Practice address
9800 Shelbyville Rd Ste 220
Louisville, KY 40223-5440
Phone
(502) 429-8585
Fax
(855) 656-7325
NPI assigned
Jan 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1112333 KY Primary

Addresses

Primary practice location

9800 Shelbyville Rd Ste 220
Louisville, KY 40223-5440

Mailing address

9800 Shelbyville Rd Ste 220
Louisville, KY 40223-2992
Phone (502) 429-8585

Other identifiers 1

IdentifierTypeStateIssuer
7100571220MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190204000791 KY Practitioner - Nurse Practitioner 5395082044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1112333KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PSF PLLC Nurse Practitioner CurrentSince Sep 15, 2023 Accepting new patients
Madison County Aesthetics Current Accepting new patients

Locations

111 Wildflower Ln
Ste A
Campbellsvlle, KY 42718
Phone (270) 469-3408

3165 Beaumont Centre Cir
Ste 180
Lexington, KY 40513
Phone (859) 629-4448

3130 Mapleleaf Dr
Ste 170
Lexington, KY 40509
Phone (859) 263-1900

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585

236 E Main St
Richmond, KY 40475
Phone (859) 623-2844

Organizations & group practices 2

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": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1255804209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235440",
            "telephone_number": "502-429-8585",
            "fax_number": "855-656-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHENY",
        "first_name": "ELIZABETH",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "1112333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100571220",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.