Lisa Michelle Keown, ARNP
Individual provider Active NPI Adult Health Nurse Practitioner · Taylorsville, KY
NPI 1184698193 · NPPES record last updated Feb 26, 2010
Key facts
- NPI
- 1184698193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 3968P (KY)
- Practice address
- 851 McIntosh Dr
Taylorsville, KY 40071-8407 - Phone
- (502) 477-2911
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3968P | KY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premiere Providers PLLC | Past |
Accepting new patients | |
| Physicians Geriatric Health Services Inc | Past | Accepting new patients | |
| Integritas of Kentucky, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 3968P | KY | Yes |
Addresses
Primary practice location
851 McIntosh Dr
Taylorsville, KY 40071-8407
Mailing address
851 McIntosh Dr
Taylorsville, KY 40071-8407
Phone (502) 477-2911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78903952 | Medicaid | KY |
Other providers in Taylorsville, KY
- James R Strong DMD Inc
- Christina Jayjohn
- Kentucky Medical Transportation Services LLC
- Kentucky Orthopedic Rehabilitation LLC
- Kentucky Orthopedic Rehabilitation, LLC
- Ernest John Kettig
- Hollie Krupp
- Larry Fowler Consulting, Inc.
- Debbie Long
- Loving Care Home Health LLP
All providers in Taylorsville, KY · Adult Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.