Individual provider Active NPI

Tanisha Renee Thompson, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1689072464
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3008800 Issued in KY
Practice address
4003 Kresge Way Ste 410
Louisville, KY 40207-4652
Phone
(502) 893-7462
NPI assigned
Dec 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008800 KY
Nurse Practitioner 363L00000X 3008800 KY Primary

Addresses

Primary practice location

4003 Kresge Way Ste 410
Louisville, KY 40207-4652

Mailing address

4003 Kresge Way Ste 410
Louisville, KY 40207-4652
Phone (502) 893-7462

Other practice location 1

6200 Dutchmans Ln
Louisville, KY 40205-3271
Phone (502) 456-6200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tthompson9058@bhkydirect.com

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
I20150312001281 KY Practitioner - Nurse Practitioner 7012233901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Guide Partners IncGroup PAC ID 7719266402, 32 clinicians

Practice addresses (Care Compare)

6200 Dutchmans LN
Louisville, KY 40205-3271
Phone (502) 456-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008800KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Guide Partners Inc CurrentSince Apr 21, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 11, 2015 Accepting new patients
Care Guide Partners Inc Family CurrentSince Apr 21, 2025 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner Current Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Jan 11, 2015 Accepting new patients

Locations

6200 Dutchmans Ln
Ste 200
Louisville, KY 40205
Phone (502) 456-6200

4003 Kresge Way
Ste 410
Louisville, KY 40207
Phone (502) 893-7462

6200 Dutchmans Ln
Louisville, KY 40205
Phone (502) 456-6200

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1689072464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 KRESGE WAY STE 410",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074652",
            "telephone_number": "502-893-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 KRESGE WAY STE 410",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074652",
            "telephone_number": "502-893-7462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Dutchmans Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402053271",
            "country_code": "US",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TANISHA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008800",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tthompson9058@bhkydirect.com",
            "affiliation": "N",
            "address_1": "4003 Kresge Way Ste 410",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.