Individual provider Active NPI

Lisa Christine Gaines, DNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1003573635
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3016954 Issued in KY
Practice address
300 W Dixie Ave
Elizabethtown, KY 42701-1704
Phone
(502) 644-9162
NPI assigned
Nov 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3016954 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3016954 KY Primary

Addresses

Primary practice location

300 W Dixie Ave
Elizabethtown, KY 42701-1704

Mailing address

4507 Meadowlark Manor LN
Louisville, KY 40245-2702
Phone (502) 644-9162

Other practice location 1

801 Barret Ave Ste 314
Louisville, KY 40204-1734
Phone (502) 585-2924 ext. 1116

Other practice location 2

4507 Meadowlark Manor Ln
Louisville, KY 40245-2702
Phone (502) 644-9162

Other practice location 3

5722 Outer Loop
Louisville, KY 40219-4156
Phone (502) 644-9162

Other identifiers 1

IdentifierTypeStateIssuer
7100785110MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807000248 KY Practitioner - Nurse Practitioner 5991166084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Psychiatry PLLCGroup PAC ID 4385937598, 12 clinicians
Pax Recovery Center LLCGroup PAC ID 1254851017, 3 clinicians

Practice addresses (Care Compare)

1405 Browns LN
Louisville, KY 40207-4608
Phone (502) 419-0410

436 S 7TH St
Suite 100
Louisville, KY 40203-1981
Phone (502) 544-9332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3016954KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Health Center PLLC CurrentSince Aug 13, 2023 Accepting new patients
US Psychiatry PLLC CurrentSince Feb 17, 2025 Accepting new patients

Locations

300 W Dixie Ave
Elizabethtown, KY 42701
Phone (270) 982-0855

8521 La Grange Rd
Louisville, KY 40242
Phone (502) 426-5648

1405 Browns Ln
Louisville, KY 40207
Phone (502) 896-0495

801 Barret Ave
Ste 314
Louisville, KY 40204
Phone 5025852924 ext. 1116

2020 Newburg Rd
Louisville, KY 40205
Phone (502) 315-1458

Interoperability endpoints

  • Direct secure messaging: lgaines@gainesandassociates.opdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1003573635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 MEADOWLARK MANOR LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402452702",
            "telephone_number": "502-644-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W DIXIE AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011704",
            "telephone_number": "502-644-9162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Barret Ave Ste 314",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402041734",
            "country_code": "US",
            "telephone_number": "502-585-2924 x1116",
            "fax_number": "502-585-2931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4507 Meadowlark Manor Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402452702",
            "country_code": "US",
            "telephone_number": "502-644-9162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5722 Outer Loop",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402194156",
            "country_code": "US",
            "telephone_number": "502-644-9162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINES",
        "first_name": "LISA",
        "middle_name": "CHRISTINE",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016954",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3016954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100785110",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.