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Brenda Johnston

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

6801 Dixie Hwy Ste 132, Louisville, KY 40258-3952

PECOS Enrollment

Based on the most recent information from CMS, provider Brenda Johnston is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1386112688
Provider Type
Individual
Full Name
Johnston, Brenda
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
11/5/2018
Last Updated
2/7/2024

Contact Information

Practice Location

6801 Dixie Hwy Ste 132, Louisville, KY 40258-3952

(502) 657-2701

Unlisted Fax

Mailing Location

6801 Dixie Hwy Ste 132, Louisville, KY 40258-3952

(502) 657-2701

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 4011663 Kentucky
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN61779NP West Virginia

Brenda Johnston

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Swift, Christopher Michael

Simpson, Mandie

Betz, Kelly

Suarez Guerra, Gretchell Delacaridad

Trust Family Health Care Inc

Clark, Shana Marie

Nurse Practitioner Associates, Pllc

Crawford, Julie Nicole

Cook, Krystal

Coleman, Lindsay Nicole