NPIMap

Individual provider Active NPI

Tammy Johnson, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1780157057
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013055 Issued in KY
Practice address
9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812
Phone
(833) 510-4357
Fax
(866) 460-2997
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1117443 KY
Family Nurse Practitioner 363LF0000X 3013055 KY Primary

Addresses

Primary practice location

9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice location 1

4822 Preston Hwy
Louisville, KY 40213-2226
Phone (502) 969-2227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190515000946 KY Practitioner - Nurse Practitioner 8820331853 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brooks Family Medical LLCGroup PAC ID 3577911569, 13 clinicians

Practice addresses (Care Compare)

2233 Lower Hunters Trce
Louisville, KY 40216-1358
Phone (502) 357-9211

Hospital & facility affiliations

  • Amedisys SP-Ky, LLC Dba Adoration Home Health Home health agency, Louisville, KY, CCN 187171
  • Caretenders Home health agency, Louisville, KY, CCN 187152
  • Centerwell Home Health Home health agency, Elizabethtown, KY, CCN 187085
  • Centerwell Home Health Home health agency, Louisville, KY, CCN 187090
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky PLLC CurrentSince Sep 1, 2022 Accepting new patients
Brooks Family Medical LLC Family CurrentSince Apr 1, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 6, 2024 Accepting new patients
Brock Medical, LLC CurrentSince Sep 1, 2022 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince May 15, 2019 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 6, 2024 Accepting new patients
Preston Urgent Care, Inc PastSince Mar 27, 2018 Accepting new patients

Locations

102 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 348-3062

110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409

15100 N US Highway 25 E
Corbin, KY 40701
Phone (606) 261-2054

111 Towne Dr
Elizabethtown, KY 42701
Phone (270) 737-1710

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

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

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 8

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 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1780157057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9702 STONESTREET RD STE 120",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402726812",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4822 Preston Hwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402132226",
            "country_code": "US",
            "telephone_number": "502-969-2227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAMMY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1117443",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.