Patriot One Primary Care PSC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PATRIOT ONE PRIMARY CARE PSC

Practice address

989 Governors LN Ste 140
Lexington, KY 40513-1174

Phone

(859) 447-8014

NPI assigned

Apr 20, 2022

Organization subpart

No

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

Authorized official

Name

Janine Lippert, PCNP-PC

Title

Nurse Practitioner

Phone

(859) 433-4661

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth K Mentzer, PA-C

  • Physician Assistant
  • Lexington, KY
  • NPI 1578889663
  NPD

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1114660735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 GOVERNORS LN STE 220",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131175",
            "telephone_number": "859-447-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 GOVERNORS LN STE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131174",
            "telephone_number": "859-447-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT ONE PRIMARY CARE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "LIPPERT",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "859-433-4661",
        "authorized_official_credential": "PCNP-PC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100137000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeannie Patrick
• Megan Patrick
• Sondra Stratton Patrick, RPH
• Taylor H Patrick, MD
• Tracey Patrick, RDN, LD
• Patriot One Primary Care PSC
• Samantha Patrize
• Tamara F Patsey, MD
• Alexander Patterson, MD
• Donna Patterson

• General Practice Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• General Practice Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.