Brenda Johnston, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4011663 Issued in KY

Practice address

6801 Dixie Hwy Ste 132
Louisville, KY 40258-3952

Phone

(502) 657-2701

NPI assigned

Nov 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV, 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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Cleanslate Medical Group of Kentucky PLLCGroup PAC ID 4486909769, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnston.brenda.m.np@scs.directstmarys.org

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.

• Cleanslate Medical Group of Kentucky PLLC

  • Addiction Medicine (Internal Medicine) Physician
  • Louisville, KY
  • NPI 1538600630
  Medicare reassignment Care Compare group NPD
• Huntington Hospitalist Group Inc

  • Hospitalist Physician
  • Huntington, WV
  • NPI 1750710166
  Medicare reassignment NPD
• St Mary'S Hospitalist Services, LLC

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1942432687

  Family

  Medicare reassignment NPD
• Huntington Hospitalist Group Inc

  • Multi-Specialty Clinic/Center
  • Grayson, KY
  • NPI 1467223982
  NPD
• Huntington Hospitalist Group Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntington, WV
  • NPI 1124695721
  NPD
• Total Wellness Centers, LLC

  • Clinical Medical Laboratory
  • Holyoke, MA
  • NPI 1770020018
  NPD (past)

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1386112688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 DIXIE HWY STE 132",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583952",
            "telephone_number": "502-657-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 DIXIE HWY STE 132",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583952",
            "telephone_number": "502-657-2701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 1st Ave Rm 1025",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257021241",
            "country_code": "US",
            "telephone_number": "304-399-7484",
            "fax_number": "304-399-7579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 Township Road 1287",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "OH",
            "postal_code": "456197915",
            "country_code": "US",
            "telephone_number": "304-634-0251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "BRENDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN61779NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4011663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Johnston.Brenda.M.NP@scs.directstmarys.org",
            "affiliation": "Y",
            "affiliationName": "St Mary's Hospitalist Services, LLC",
            "address_1": "2900 1st Ave Rm 1025",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257021241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William R Johnson, DMD
• Christopher Lars Johnsrude, MD
• Johnston Counseling & Consulting LLC
• Andrea Rae Johnston, L.AC
• Beth Johnston
• Jennifer Johnston
• Kaymie Marie Johnston, APRN
• Kelly Lynn Johnston, APRN
• Kyle Johnston, ATC, LAT
• Sherri Adele Johnston, ATC

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.

Verify at the official NPI Registry.