Individual provider Active NPI

Nitisha Malhotra, FNP

  • Nurse Practitioner
  • Prospect, KY
National Provider Identifier
1841153657
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4002518 Issued in KY
Practice address
9301 Dayflower St Ste 100
Prospect, KY 40059-7585
Phone
(502) 326-8588
Fax
(502) 326-8589
NPI assigned
Dec 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4002518 KY Primary

Addresses

Primary practice location

9301 Dayflower St Ste 100
Prospect, KY 40059-7585

Mailing address

9301 Dayflower St Ste 100
Prospect, KY 40059-7585
Phone (502) 326-8588

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
I20260112002791 KY Practitioner - Nurse Practitioner 5890271522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tamella Buss Cassis MD PLLCGroup PAC ID 1456435247, 3 clinicians

Practice addresses (Care Compare)

9301 Dayflower St
Suite 100
Prospect, KY 40059-7585
Phone (502) 326-8588

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4002518KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tamella Buss Cassis MD PLLC CurrentSince Dec 2, 2025 Accepting new patients

Locations

9301 Dayflower St
#100
Prospect, KY 40059
Phone (502) 326-8588

9301 Dayflower St
Ste 100
Prospect, KY 40059
Phone (502) 326-8588

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1841153657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 DAYFLOWER ST STE 100",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597585",
            "telephone_number": "502-326-8588",
            "fax_number": "502-326-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 DAYFLOWER ST STE 100",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597585",
            "telephone_number": "502-326-8588",
            "fax_number": "502-326-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "NITISHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4002518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

Verify at the official NPI Registry.