Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Nicole Bohannon, APRN-NP

Individual provider Nurse Practitioner · NPI 1457738387

Crystal Nicole Bohannon, APRN-NP is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2014, 12 years ago. Practices with University of Louisville Physicians Inc, a 1,433-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
12
Licensed in
KY
In the registry since
2015
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Practice location Address checks out

8111 Bardstown Rd
Louisville, KY 40291-3441
Phone: (502) 231-7680
Fax: (502) 231-8149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3009368 (KY)

Record details

NPI number1457738387
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-NP
Sole proprietorNo
NPI enumeratedApril 29, 2015
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Of Louisville Physicians Inc — 1433 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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