Active NPI
Lisa Dotson, RN
- Skilled Nursing Facility
- Cynthiana, KY
National Provider Identifier
1003579780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1158022
- Practice address
- 1217 US Highwary 62E
Cynthiana, KY 41031 - Phone
- (859) 234-2702
- NPI assigned
- Oct 19, 2021
- Last updated
- Oct 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1158022 | KY | Primary |
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 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Lisa.Dotson@cedarridgehs.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1158022 | KY | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1003579780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 WHETSTONE RD",
"city": "CARLISLE",
"state": "KY",
"postal_code": "403119074",
"telephone_number": "407-310-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 US HIGHWARY 62E",
"city": "CYNTHIANA",
"state": "KY",
"postal_code": "41031",
"telephone_number": "859-234-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTSON",
"first_name": "LISA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-19",
"last_updated": "2021-10-19",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KY",
"license": "1158022",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Lisa.Dotson@cedarridgehs.com",
"affiliation": "N",
"endpointDescription": "Lisa.Dotson@cedarridgehs.com",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1217 Us Highwary 62E",
"city": "Cynthiana",
"state": "KY",
"country_code": "US",
"postal_code": "41031",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cynthiana, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.