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

Dallas Scott Basham, NP

Individual provider Acute Care Nurse Practitioner · NPI 1194758029

Dallas Scott Basham, NP is an Acute Care Nurse Practitioner in Crestview Hills, Kentucky. Licensed in Kentucky and Ohio. Registered with an NPI since 2006.

Licensed in
KY, OH
In the registry since
2006
Specialties on file
6
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

350 Thomas More Pkwy Ste 160
Crestview Hills, KY 41017-5465
Phone: (513) 221-1100
Fax: (513) 569-5297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3003742 (KY)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence COA.06624-NP (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence COA.06624-NP (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.178465-1 (OH)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 3003742 (KY)
Registered Nurse Taxonomy 163W00000X · Licence 1097793 (KY)

Record details

NPI number1194758029
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESMarch 21, 2016
Mailing addressPo Box 643398, Cincinnati, OH 45264-3398