Individual provider Active NPI

Kimberly Dejohn, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1891286225
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012408 Issued in KY
Practice address
3175 Beaumont Centre Cir
Lexington, KY 40513-1957
Phone
(859) 219-5152
NPI assigned
May 22, 2018
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3012408 KY
Family Nurse Practitioner 363LF0000X 3012408 KY Primary

Addresses

Primary practice location

3175 Beaumont Centre Cir
Lexington, KY 40513-1957

Mailing address

1428 Copper Glen Dr
Lexington, KY 40514-1297
Phone (859) 552-8799

Other practice location 1

1001 Monarch St Ste 110
Lexington, KY 40513-1848
Phone (844) 893-0012

Other practice location 2

301 Gordon Gutmann Blvd Ste 402A
Jeffersonville, IN 47130-3768
Phone (844) 893-0012

Other practice location 3

3084 Lakecrest Cir Ste 100
Lexington, KY 40513
Phone (859) 219-6440

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
I20180716003486 KY Practitioner - Nurse Practitioner 0749537124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twelvestone Infusion Centers LLCGroup PAC ID 6800151424, 64 clinicians

Practice addresses (Care Compare)

950 Breckenridge LN
Suite 280
Louisville, KY 40207-5900
Phone (844) 893-0012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3012408KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Nov 2, 2022 Accepting new patients
Twelvestone Infusion Centers LLC Nurse Practitioner CurrentSince Jun 5, 2023 Accepting new patients

Locations

301 Gordon Gutmann Blvd
Ste 402A
Jeffersonville, IN 47130

1001 Monarch St
Ste 110
Lexington, KY 40513
Phone (859) 224-0834

3175 Beaumont Centre Cir
Lexington, KY 40513
Phone (859) 219-1842

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

950 Breckenridge Ln
Ste 280
Louisville, KY 40207

352 W Northfield Blvd
Ste 3C
Murfreesboro, TN 37129

Interoperability endpoints

  • Direct secure messaging: kdejohn38480@bhkydirect.com
  • Direct secure messaging: kimberly.dejohn@krogerhealth.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1891286225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 COPPER GLEN DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141297",
            "telephone_number": "859-552-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 BEAUMONT CENTRE CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131957",
            "telephone_number": "859-219-5152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Monarch St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405131848",
            "country_code": "US",
            "telephone_number": "844-893-0012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Gordon Gutmann Blvd Ste 402A",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303768",
            "country_code": "US",
            "telephone_number": "844-893-0012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3084 Lakecrest Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40513",
            "country_code": "US",
            "telephone_number": "859-219-6440",
            "fax_number": "859-219-6449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEJOHN",
        "first_name": "KIMBERLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012408",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.