Organization Active NPI

Laurel Family Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • London, KY
National Provider Identifier
1104451053
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LAUREL FAMILY MENTAL HEALTH
Practice address
73 Thompson Poynter Rd Ste a
London, KY 40741-7202
Phone
(606) 657-5912
Fax
(606) 657-5915
NPI assigned
Mar 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Authorized official

Name
Melanie Morrison
Title
Authorized Official
Phone
(606) 657-5912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

73 Thompson Poynter Rd Ste a
London, KY 40741-7202

Mailing address

73 Thompson Poynter Rd Ste a
London, KY 40741-7202
Phone (606) 657-5912

National Provider Directory

National Provider Directory

Locations

74 Thompson Poynter Rd
Ste a
London, KY 40741

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25456/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1104451053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 THOMPSON POYNTER RD STE A",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407417202",
            "telephone_number": "606-657-5912",
            "fax_number": "606-657-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 THOMPSON POYNTER RD STE A",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407417202",
            "telephone_number": "606-657-5912",
            "fax_number": "606-657-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL FAMILY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "606-657-5912"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.