Active NPI
Laurel Family Mental Health
- Psychiatric/Mental Health Nurse Practitioner
- London, KY
National Provider Identifier
1104451053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryLocations
74 Thompson Poynter Rd
Ste a
London, KY 40741
Interoperability endpoints
- 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.