Organization · Type 2 NPI

Baptist Health Medical Group Inc

Nurse Practitioner · Nicholasville, KY

NPI number 1255805586 Active

Practice location

100 Providence Way Ste 200
Nicholasville, KY 40356-6033

Call (859) 260-5370 Map

Fax (859) 260-5379

Mailing address

1901 Campus Pl
Louisville, KY 40299-2308

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Physician Assistant	363A00000X	None listed
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

5 other providers at this address

Other nurse practitioner providers in Nicholasville

LHC Physician Services of West Virginia, LLCNurse Practitioner Nicholasville, KY NPI 1629441431

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NPI record

NPI: 1255805586
Entity type: Organization (Type 2)
Issued: Jan 21, 2019
Last updated: Jun 24, 2026
Status: Active
Subpart: Yes of Baptist Health Medical Group Inc

Other names

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Brannon Crossing Family Medicine · other name

Authorized official

Matthew Lazari
Vice President
(502) 489-8668

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255805586

Baptist Health Medical Group Inc's National Provider Identifier is 1255805586, issued on Jan 21, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Nicholasville, KY. The record was last updated on Jun 24, 2026.