Individual provider Active NPI

Lisa G Highland, APRN

  • Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1053757591
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3008013 Issued in KY
Practice address
1401 Harrodsburg Rd
A300
Lexington, KY 40504-3751
Phone
(859) 276-4429
Fax
(859) 276-6940
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3008013 KY Primary

Addresses

Primary practice location

1401 Harrodsburg Rd
A300
Lexington, KY 40504-3751

Mailing address

PO Box 73652
Cleveland, OH 44193-0002
Phone (859) 313-2758

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
I20130805000264 KY Practitioner - Nurse Practitioner 2062654007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saint Louis University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

614 Cardinal LN
Lexington, KY 40503-1702

7145 E Virginia St
Suite 2000
Evansville, IN 47715-9147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resurrection Treatment Clinics LLC CurrentSince Feb 27, 2024 Accepting new patients
Stellar Behavioral Health LLC CurrentSince Aug 21, 2024 Accepting new patients

Locations

7145 E Virginia St
Ste 2000
Evansville, IN 47715
Phone (812) 476-6161

1718 Alexandria Dr
Ste 101
Lexington, KY 40504
Phone (859) 276-1015

1830 Versailles Rd
Lexington, KY 40504
Phone (502) 536-7083

1718 Alexandria Dr
Ste 301
Lexington, KY 40504

1718 Alexandria Dr
Ste 102
Lexington, KY 40504
Phone (502) 536-7083

2211 Greene Way
Ste 220
Louisville, KY 40220
Phone (502) 536-7083

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAJDDD/Endpoint/IAJDDD

Organizations & group practices 2

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": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1053757591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73652",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930002",
            "telephone_number": "859-313-2758",
            "fax_number": "859-276-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "A300",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-276-4429",
            "fax_number": "859-276-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHLAND",
        "first_name": "LISA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.