Individual provider Active NPI

Brandi Nichole Conn-Lyons

  • Nurse Practitioner
  • Pikeville, KY
National Provider Identifier
1184472359
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4020431 Issued in KY
Practice address
5005 State Highway 194 W
Pikeville, KY 41501-6330
Phone
(606) 437-4706
NPI assigned
May 10, 2024
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4020431 KY Primary

Addresses

Primary practice location

5005 State Highway 194 W
Pikeville, KY 41501-6330

Mailing address

5005 State Highway 194 W
Pikeville, KY 41501-6330
Phone (606) 616-8206

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240711001783 KY Practitioner - Nurse Practitioner 9830634187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Betsy Layne Primary Care, PLLCGroup PAC ID 7416219605, 3 clinicians

Practice addresses (Care Compare)

387 Town Mountain Rd
Suite 203
Pikeville, KY 41501-1642
Phone (606) 478-4500

8324 Ky Route 122
Minnie, KY 41651-9008
Phone (606) 949-1727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4020431KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Betsy Layne Primary Care, PLLC CurrentSince Apr 24, 2024 Accepting new patients
Betsy Layne Primary Care, PLLC CurrentSince Apr 24, 2024 Accepting new patients

Locations

387 Town Mountain Rd
Ste 203
Pikeville, KY 41501
Phone (606) 432-1266

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1184472359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 STATE HIGHWAY 194 W",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415016330",
            "telephone_number": "606-616-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 STATE HIGHWAY 194 W",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415016330",
            "telephone_number": "606-437-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONN-LYONS",
        "first_name": "BRANDI",
        "middle_name": "NICHOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4020431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.