Individual provider Active NPI

Dashina Bibb, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1669004982
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014016 Issued in KY
Practice address
3165 S 2ND St
Louisville, KY 40208-1446
Phone
(502) 415-5627
NPI assigned
Feb 5, 2020
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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 3014016 KY Primary

Addresses

Primary practice location

3165 S 2ND St
Louisville, KY 40208-1446

Mailing address

3165 S 2ND St
Louisville, KY 40208-1446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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

Enrollment IDStateProvider typePAC IDDetails
I20200324002485 KY Practitioner - Nurse Practitioner 9638507726 Reassigns benefits to 3 organizations
I20200521000493 IN Practitioner - Nurse Practitioner 9638507726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, shared by 46 NPIs, 213 clinicians
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians
Little Clinic of in LLCGroup PAC ID 7719118447, 66 clinicians

Practice addresses (Care Compare)

1095 Morton Ave
Bardstown, KY 40004-3500
Phone (502) 601-0107

12501 Shelbyville Rd
Middletown, KY 40243-1530
Phone (502) 253-2047

815 Highlander Point Dr
Floyds Knobs, IN 47119-9470
Phone (812) 923-7146

9501 County Rd
Suite 403
Charlestown, IN 47111-8939
Phone (812) 256-2338

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

Merit-based Incentive Payment System (MIPS)

Final score
83.89 of 100Reported as group
Quality
67.99
Promoting interoperability
100
Improvement activities
40
Cost
78.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Mar 6, 2020 Accepting new patients
Little Clinic of in LLC Family CurrentSince May 19, 2020 Accepting new patients

Locations

305 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 283-3630

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

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

3165 S 2nd St
Louisville, KY 40208
Phone (502) 368-6153

5533 New Cut Rd
Louisville, KY 40214
Phone (502) 361-7238

12501 Shelbyville Rd
Middletown, KY 40243
Phone (502) 244-7960

Interoperability endpoints

  • Direct secure messaging: dashina.bibb@krogerhealth.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1669004982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 S 2ND ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 S 2ND ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081446",
            "telephone_number": "502-415-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBB",
        "first_name": "DASHINA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.