Individual provider Active NPI

H Lewis Gabehart, CRNA

  • Certified Registered Nurse Anesthetist
  • Lexington, KY
National Provider Identifier
1043293277
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1239A Issued in KY
Practice address
800 Rose St # N217
Lexington, KY 40536-8947
Phone
(859) 323-5956
Fax
(859) 323-1080
NPI assigned
Nov 22, 2005
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN0000008996 TN
Certified Registered Nurse Anesthetist 367500000X 1239A KY Primary
Registered Nurse 163W00000X 1061711 KY
Registered Nurse 163W00000X RN0000047222 TN

Addresses

Primary practice location

800 Rose St # N217
Lexington, KY 40536-8947

Mailing address

20 W Owl Creek Rd
Campbellsville, KY 42718-8947
Phone (270) 465-6676

Other practice location 1

20 W Owl Creek Rd
Campbellsville, KY 42718-8947
Phone (270) 465-6676

Other identifiers 1

IdentifierTypeStateIssuer
74346677MedicaidKY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1061711KYMDRegistered Nurse
RN0000047222TNMDRegistered Nurse
1239AKYMDCertified Registered Nurse Anesthetist
APN0000008996TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Anesthesia Services Nurse Anesthetist, Certified Registered Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Paintsville Hospital Company, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Riverhills Anesthesia Associates Past Accepting new patients
Taylor County Anesthesia PSC Nurse Anesthetist, Certified Registered Past Accepting new patients
Medical Anesthesia Group, PA PastSince Feb 24, 1997 Accepting new patients
Appalachian Regional Healthcare, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043293277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W OWL CREEK RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188947",
            "telephone_number": "270-465-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST # N217",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405368947",
            "telephone_number": "859-323-5956",
            "fax_number": "859-323-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 W Owl Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427188947",
            "country_code": "US",
            "telephone_number": "270-465-6676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABEHART",
        "first_name": "H",
        "middle_name": "LEWIS",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000008996",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1239A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1061711",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000047222",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74346677",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.