Active NPI
Lisa K Caldwell, APRN
- Psychiatry Physician
- Lexington, KY
National Provider Identifier
1023316890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 3006792
- Practice address
- 3229 Summit Square PL Ste 200
Lexington, KY 40509-2647 - Phone
- (859) 333-1477
- Fax
- (859) 543-0079
- NPI assigned
- Mar 3, 2011
- Last updated
- Aug 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3006792 | KY | |
| Psychiatry Physician | 2084P0800X | 3006792 | KY | Primary |
Addresses
Primary practice location
3229 Summit Square PL Ste 200
Lexington, KY 40509-2647
Mailing address
3229 Summit Square PL Ste 200
Lexington, KY 40509-2647
Phone (859) 333-1477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100180000 | Medicaid | KY |
Other names 1
- Mrs. Lisa R Caldwell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3006792 | KY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723852800000",
"number": "1023316890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3229 SUMMIT SQUARE PL STE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092647",
"telephone_number": "859-333-1477",
"fax_number": "859-543-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3229 SUMMIT SQUARE PL STE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092647",
"telephone_number": "859-333-1477",
"fax_number": "859-543-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "LISA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-03",
"last_updated": "2024-08-17",
"certification_date": "2024-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3006792",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "3006792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100180000",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "CALDWELL",
"middle_name": "R",
"prefix": "MRS.",
"credential": "APRN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.