Nurse Practitioner
DALLAS BASHAM NP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1194758029 · enumerated 2006-07-07 · record updated 2016-03-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 643398, CINCINNATI, OH, 45264-3398 (513) 221-1100 Fax (513) 569-5297 Google Maps Apple Maps OpenStreetMap
- Practice location 350 THOMAS MORE PKWY, SUITE 160, CRESTVIEW HILLS, KY, 41017-5465 (513) 221-1100 Fax (513) 569-5297 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Acute Care 363LA2100X · License COA.06624-NP OH
- Nurse Practitioner 363L00000X · License COA.06624-NP OH
- Registered Nurse 163W00000X · License RN.178465-1 OH
- Nurse Practitioner 363L00000X · Primary · License 3003742 KY
- Nurse Practitioner, Acute Care 363LA2100X · License 3003742 KY
- Registered Nurse 163W00000X · License 1097793 KY
In this directory
Locations and evidence
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Practice location
CRESTVIEW HILLS, KY, 410175465
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.