Lisa Dotson, RN
Individual provider Active NPI Skilled Nursing Facility · Cynthiana, KY
NPI 1003579780 · NPPES record last updated Oct 19, 2021
Key facts
- NPI
- 1003579780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1158022 (KY)
- Practice address
- 1217 US Highwary 62E
Cynthiana, KY 41031 - Phone
- (859) 234-2702
- NPI assigned
- Oct 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1158022 | KY | MD | Skilled Nursing Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1158022 | KY | Yes |
Addresses
Primary practice location
1217 US Highwary 62E
Cynthiana, KY 41031
Mailing address
1400 Whetstone Rd
Carlisle, KY 40311-9074
Phone (407) 310-8364
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Lisa.Dotson@cedarridgehs.com | Direct |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.