Lisa Grubb, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4023229 Issued in KY

Practice address

2932 N Highway 25 W
Williamsburg, KY 40769-8633

Phone

(606) 515-6051

NPI assigned

Jun 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Family Health Care Associates of Barbourville Inc

  • Rural Health Clinic/Center
  • Barbourville, KY
  • NPI 1659461143

  KY

  Medicare reassignment NPD
• Family Health Care Associates 9

  • Rural Health Clinic/Center
  • Williamsburg, KY
  • NPI 1447904875
  NPD
• Family Health Care Associates 11 Limited Liability Company

  • Rural Health Clinic/Center
  • London, KY
  • NPI 1831881887
  NPD (past)
• Family Health Care Associates 2

  • Rural Health Clinic/Center
  • Annville, KY
  • NPI 1275908543
  NPD (past)

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1063256618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1535",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409065535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 N HIGHWAY 25 W",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407698633",
            "telephone_number": "606-515-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBB",
        "first_name": "LISA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4023229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Steven George, DDS
• Erika Gilkerson
• Grace Community Health Center, Inc.
• Kristi Dawn Gray, CADC
• Lola Greer
• Michael Hair
• Linda C. Hale, ARNP
• Melissa Rose Hamby, PA-S
• Paul Lamar Hamilton, PHARMACIST
• Melissa Jane Hansford, LPCC

• All providers in Williamsburg, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.