Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DALLAS SCOTT BASHAM, NP
ActiveNurse Practitioner · CRESTVIEW HILLS, KY
Registration Details
- NPI Number
- 1194758029
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2006 (19.788903209099 yrs)
- Last Updated
- Mar 21, 2016
- Licenses
-
COA.06624-NP (OH)COA.06624-NP (OH)RN.178465-1 (OH)3003742 (KY)3003742 (KY)
Practice Information
- Address
-
350 THOMAS MORE PKWYSUITE 160CRESTVIEW HILLS, KY, 410175465Browse KY providers · Browse ZIP 41017
- Phone
- 5132211100
- Fax
- 5135695297
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Acute Care Nurse Practitioner
Other Nurse Practitioner Providers in CRESTVIEW HILLS, KY
| Name | Credential | NPI |
|---|---|---|
| SHAWN M. JAGER | ARNP | 1992700108 |
| KARI VILLARREAL | N.P. | 1104823905 |
| THERESA FURNISH | ARNP | 1518966936 |
| JENNIFER MALMSTROM | ARNP | 1275532624 |
| MARIBETH E. HIBBETT | APRN | 1942259601 |
| KATHERINE LEE BUSHONG | RN, ARNP | 1932201845 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.