Active NPI
Johanna Lynn Harris, APRN
- Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3011519
- Practice address
- 2944 Breckenridge LN
Louisville, KY 40220-1409 - Phone
- (502) 893-0159
- NPI assigned
- Jul 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3011519 | KY | Primary |
Addresses
Primary practice location
2944 Breckenridge LN
Louisville, KY 40220-1409
Mailing address
2944 Breckenridge LN
Louisville, KY 40220-1409
Phone (502) 893-0159
Other practice location 1
401 E Chestnut St Unit 510
Louisville, KY 40202-5710
Phone (502) 588-4800
Other practice location 2
108 W Daisy Ln
New Albany, IN 47150-4537
Phone (502) 893-0159
Other practice location 3
1725 Gagel Ave
Louisville, KY 40216-2763
Phone (502) 893-0159
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300007363 | Medicaid | IN | |
| 7100487900 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171011003358 | KY | Practitioner - Nurse Practitioner | 8820363138 | Reassigns benefits to 1 organization |
| I20220302000673 | IN | Practitioner - Nurse Practitioner | 8820363138 | Reassigns benefits to 2 organizations |
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
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
825 Northgate Blvd
Suite 201
New Albany, IN 47150-6421
Phone (812) 542-4921
Hospital & facility affiliations
- Baptist Health Floyd
- Baptist Health Louisville
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.34 of 100
- Quality
- 89.81
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Merit Anesthesia PLLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Nurse Practitioner | Current | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
825 Northgate Blvd
Ste 201
New Albany, IN 47150
Phone (812) 206-3201
108 W Daisy Ln
New Albany, IN 47150
Phone (812) 945-3557
1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561
73 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 789-1112
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
401 E Chestnut St
Unit 510
Louisville, KY 40202
Phone (502) 588-4800
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
2944 Breckenridge Ln
Louisville, KY 40220
Phone (502) 995-5525
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1508269200
IN, Nurse Practitioner
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
KY, Nurse Practitioner
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
Nurse Practitioner
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Dermatology Physician
- Louisville, KY
- NPI 1669748794
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1366624967
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1285157255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2944 BRECKENRIDGE LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402201409",
"telephone_number": "502-893-0159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2944 BRECKENRIDGE LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402201409",
"telephone_number": "502-893-0159"
}
],
"practiceLocations": [
{
"address_1": "401 E Chestnut St Unit 510",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402025710",
"country_code": "US",
"telephone_number": "502-588-4800",
"fax_number": "502-588-4801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "108 W Daisy Ln",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "IN",
"postal_code": "471504537",
"country_code": "US",
"telephone_number": "502-893-0159",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1725 Gagel Ave",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402162763",
"country_code": "US",
"telephone_number": "502-893-0159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "JOHANNA",
"middle_name": "LYNN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-21",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3011519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300007363",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100487900",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.