Larry Omar Maggard, APRN - C, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3011468 Issued in KY

Practice address

5 Fontaine Blvd
Winchester, KY 40391-9214

Phone

(859) 749-8266

Fax

(859) 749-8266

NPI assigned

Aug 15, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mercy Health Clinics, LLC

  dba Mercy Health Powell County Primary Care

  • Rural Health Clinic/Center
  • Clay City, KY
  • NPI 1386921948
  NPD
• Mercy Health Clinics, LLC

  dba Mercy Health Lee County Primary Care

  • Rural Health Clinic/Center
  • Beattyville, KY
  • NPI 1609151471
  NPD

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1184140907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FONTAINE BLVD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403919214",
            "telephone_number": "859-749-8266",
            "fax_number": "859-749-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FONTAINE BLVD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403919214",
            "telephone_number": "859-749-8266",
            "fax_number": "859-749-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGARD",
        "first_name": "LARRY",
        "middle_name": "OMAR",
        "credential": "APRN - C, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100495320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Lord, LPCC
• Frank H Loudermilk, MD
• LP Winchester LLC (Fountain Circle Care & Rehabilitation Center)
• Mackenzie Lucas
• Joshua Lykins, PHARMD
• Lisa Michelle Mahan, PHARMD
• Danielle Renee Mains, PT
• Ara S. Makdessian, M.D.
• Logan Jacob Mann, PA-C
• Megan Louise Manns, CSW

• Family Nurse Practitioner in Winchester, KY
• Providers in Winchester, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.