Individual provider Active NPI

Rachel Johnson, ARNP

  • Family Nurse Practitioner
  • Georgetown, KY
National Provider Identifier
1275700692
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5688 Issued in KY
Practice address
1001 Cherry Blossom Way
TMMK 2000 Clinic
Georgetown, KY 40324-9564
Phone
(502) 868-4845
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5688 KY Primary

Addresses

Primary practice location

1001 Cherry Blossom Way
TMMK 2000 Clinic
Georgetown, KY 40324-9564

Mailing address

207 Cypress Way
Georgetown, KY 40324-8423
Phone (859) 699-1275

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
I20251030001131 KY Practitioner - Nurse Practitioner 4789173717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

330 Seven Springs Way
Brentwood, TN 37027-5098

3416 Valley Brook Rd
Nashville, TN 37215-2021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5688KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Mso LLC CurrentSince Dec 1, 2025 Accepting new patients
Kentucky Mso, LLC Family CurrentSince Dec 1, 2025 Accepting new patients
Kentucky Mso LLC Family Current Accepting new patients
Kentucky Mso LLC Past Accepting new patients

Locations

1200 Fairfax Way
Georgetown, KY 40324
Phone (502) 867-6701

501 S Hamilton St
Georgetown, KY 40324
Phone (502) 867-6701

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

1140 Lexington Rd
Ste 105
Georgetown, KY 40324
Phone (502) 868-5660

175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1275700692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CYPRESS WAY",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248423",
            "telephone_number": "859-699-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CHERRY BLOSSOM WAY",
            "address_2": "TMMK 2000 CLINIC",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249564",
            "telephone_number": "502-868-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RACHEL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "5688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.