Individual provider Active NPI

Tiffany S. Basham, DNP, FNP-BC

  • Family Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1891188702
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015563 Issued in CA
Practice address
1106 Julianna CT
Elizabethtown, KY 42701-7936
Phone
(270) 900-4988
Fax
(270) 900-4985
NPI assigned
Mar 17, 2015
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000019657 TN
Family Nurse Practitioner 363LF0000X 95015563 CA Primary
Family Nurse Practitioner 363LF0000X 3011255 KY

Addresses

Primary practice location

1106 Julianna CT
Elizabethtown, KY 42701-7936

Mailing address

1106 Julianna CT
Elizabethtown, KY 42701-7936
Phone (270) 900-4988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201118003233 CA Practitioner - Nurse Practitioner 7517381403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael K Lloyd MD IncGroup PAC ID 7517115306, 6 clinicians

Practice addresses (Care Compare)

460 Greenfield Ave
Suite 3
Hanford, CA 93230-3500
Phone (559) 584-5770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000019657TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael K Lloyd MD Inc CurrentSince Sep 30, 2020 Accepting new patients
Hanford Community Hospital Past Accepting new patients

Locations

460 Greenfield Ave
Ste 3
Hanford, CA 93230
Phone (559) 584-5770

Organizations & group practices 2

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.

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": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1891188702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 JULIANNA CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017936",
            "telephone_number": "270-900-4988",
            "fax_number": "270-900-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 JULIANNA CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017936",
            "telephone_number": "270-900-4988",
            "fax_number": "270-900-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAM",
        "first_name": "TIFFANY",
        "middle_name": "S.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000019657",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015563",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.