Individual provider Active NPI

Erinn Lynn Basista, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Russellville, KY
National Provider Identifier
1457954471
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015050 Issued in KY
Practice address
1719 Nashville St Ste C
Russellville, KY 42276-7804
Phone
(270) 726-7664
NPI assigned
Nov 20, 2020
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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 3015050 KY Primary

Addresses

Primary practice location

1719 Nashville St Ste C
Russellville, KY 42276-7804

Mailing address

1719 Nashville St
Russellville, KY 42276-7804
Phone (270) 726-9576

Other practice location 1

1214 N Race St
Glasgow, KY 42141-3489
Phone (270) 629-8722

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
I20210105003292 KY Practitioner - Nurse Practitioner 3678986981 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Kentucky University Medical Department, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Logan Physician Practice LLCGroup PAC ID 4880596592, 6 clinicians
Logan Family Practice LLCGroup PAC ID 7719384163, 4 clinicians

Practice addresses (Care Compare)

128 Sugar Maple Dr
Auburn, KY 42206-5352
Phone (270) 542-5500

1681 Normal Dr
Bowling Green, KY 42101-1041
Phone (270) 745-0987

1719 Nashville St
Suite C
Russellville, KY 42276-7804
Phone (270) 726-7664

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 781-7178

250 Park St
Bowling Green, KY 42101-1795

350 Park St
Bowling Green, KY 42101-1784

350 Park St
Suite 102
Bowling Green, KY 42101-1700
Phone (270) 796-3520

421 US 31W Byp
Bowling Green, KY 42101-1775
Phone (270) 846-8902

427 US 31W Byp
Bowling Green, KY 42101-1703
Phone (270) 796-8000

523 Park St
Bowling Green, KY 42101-1765
Phone (270) 781-0075

5796 Nashville Rd
Bowling Green, KY 42101-7546
Phone (270) 745-0987

6807 Louisville Rd
Bowling Green, KY 42101-8015
Phone (270) 745-0987

720 2ND Ave
Suite 307
Bowling Green, KY 42101-1718
Phone (270) 780-2760

800 Park St
Bowling Green, KY 42101-2347

825 2ND Ave
Bowling Green, KY 42101-1789

825 2ND Ave
Bowling Green, KY 42101-1790

825 2ND Ave
Bowling Green, KY 42101-1791

825 2ND Ave E
Suite C2
Bowling Green, KY 42101-1786

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Physician Practice LLC CurrentSince Feb 1, 2023 Accepting new patients
Pain Management Group LLC CurrentSince Feb 1, 2021 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Feb 2, 2021 Accepting new patients
Logan Physician Practice, LLC Current Accepting new patients
Logan Family Practice LLC Family CurrentSince Aug 1, 2022 Accepting new patients
Logan Family Practice LLC CurrentSince Aug 1, 2022 Accepting new patients
Commonwealth Health Corporation, Inc. Family CurrentSince Nov 1, 2025 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Family CurrentSince Jul 1, 2024 Accepting new patients
Patrick K Hayden Logan Family Practice Family Current Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Family CurrentSince Jul 1, 2024 Accepting new patients

Locations

128 Sugar Maple Dr
Auburn, KY 42206
Phone (270) 344-5157

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

2945 Scottsville Rd
Ste E32
Bowling Green, KY 42104
Phone (270) 783-3992

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

1719 Nashville St
Russellville, KY 42276
Phone (270) 726-7664

1719 Nashville St
Ste C
Russellville, KY 42276
Phone (270) 726-7664

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26087/brand/2/csg/21/fhir/r4

Organizations & group practices 12

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

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": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1457954471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 NASHVILLE ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422767804",
            "telephone_number": "270-726-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 NASHVILLE ST STE C",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422767804",
            "telephone_number": "270-726-7664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1214 N Race St",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421413489",
            "country_code": "US",
            "telephone_number": "270-629-8722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASISTA",
        "first_name": "ERINN",
        "middle_name": "LYNN",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, KY

Sources for this page

Verify at the official NPI Registry.