Allison Dawn Johnston
Individual provider Active NPI Family Nurse Practitioner · Stearns, KY
NPI 1467084822 · NPPES record last updated Nov 9, 2020
Key facts
- NPI
- 1467084822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3013825 (KY)
- Practice address
- 2157 S Highway 27
Stearns, KY 42647-6297 - Phone
- (606) 376-9700
- NPI assigned
- Feb 4, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital, Inc.
Practice addresses (Care Compare)
102 Professional Dr
Suite 2
London, KY 40741-8857
Phone (606) 878-9611
56 Marie Langdon Dr
Manchester, KY 40962-6329
Phone (606) 599-4080
Hospital & facility affiliations
- AdventHealthManchester
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200604000335 | KY | Practitioner - Nurse Practitioner | 1658792387 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013825 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital, Inc. | Family | Current | Accepting new patients |
| Hope Primary & Urgent Care PLLC | Current |
Accepting new patients | |
| Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Fast Pace Kentucky PLLC | Current |
Accepting new patients | |
| Brock Medical, LLC | Current |
Accepting new patients | |
| Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Memorial Hospital Inc. | Family | Current |
Accepting new patients |
| Memorial Hospital Inc | Current |
Accepting new patients |
Locations
110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409
15100 N US Highway 25 E
Ste 1
Corbin, KY 40701
Phone (606) 261-2054
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
102 Professional Dr
#2
London, KY 40741
Phone (606) 598-4500
1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163
210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047
53 Queendale Ctr
Red Bird, KY 40913
Phone (606) 598-5135
2157 S Highway 27
Stearns, KY 42647
Phone (606) 376-9700
Interoperability endpoints
- ajohnston659259@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013825 | KY | Yes |
Addresses
Primary practice location
2157 S Highway 27
Stearns, KY 42647-6297
Mailing address
216 Talon TRL
London, KY 40744-6309
Phone (606) 862-8286
Other practice location 1
102 Professional Dr Ste 2
London, KY 40741-8857
Phone (606) 878-9611
Other practice location 2
56 Marie Langdon Dr
Manchester, KY 40962-6329
Phone (606) 599-4080
Other practice location 3
145 Orchard St
Oneida, KY 40972-6409
Phone (606) 847-4000
Other practice location 4
53 Queendale Ctr
Beverly, KY 40913-9608
Phone (606) 598-5135
Other practice location 5
210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14615849 | Other | CAQH ID | |
| 3013825 | Other | KY | LICENSE |
| 7100649410 | Medicaid | KY |
Other providers in Stearns, KY
- Cumberland Family Medical Center Inc
- Robin M Gregory
- Hope Primary & Urgent Care PLLC
- Hope Primary Care of Stearns PLLC
- Kathryn Susan Jasper
- Lake Cumberland District Health Dept
- Lake Cumberland District Health Dept
- Holly Nicole Lockhart-Kidd
- McCreary County Schools
- Brittany Jordan Pierce
All providers in Stearns, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.