Active NPI
Tara L Lykins, CNS
- Adult Health Clinical Nurse Specialist
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 3005317
- Practice address
- 1532 Lone Oak Rd
Suite 415
Paducah, KY 42003-7913 - Phone
- (270) 442-0103
- Fax
- (270) 442-0109
- NPI assigned
- Sep 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 3005317 | KY | |
| Clinical Nurse Specialist | 364S00000X | 3005317 | KY | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 3005317 | KY | Primary |
Addresses
Primary practice location
1532 Lone Oak Rd
Suite 415
Paducah, KY 42003-7913
Mailing address
1532 Lone Oak Rd Ste 415
Paducah, KY 42003-7943
Phone (270) 442-0103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100141380 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1532 Lone Oak Rd
Suite 415
Paducah, KY 42003-7943
Phone (270) 442-0103
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.45 of 100
- Quality
- 89.88
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Cardiology Associates of Paducah, PSC | Past | Accepting new patients |
Locations
1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537
1532 Lone Oak Rd
Ste 415
Paducah, KY 42003
1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
Organizations & group practices 3
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.
-
- Surgery Physician
- Paducah, KY
- NPI 1700408093
-
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1043088347
-
- Cardiovascular Disease Physician
- Paducah, KY
- NPI 1740398254
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
-
- Rural Acute Care Hospital
- Mayfield, KY
- NPI 1891892741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1184810541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 LONE OAK RD STE 415",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037943",
"telephone_number": "270-442-0103",
"fax_number": "270-442-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 LONE OAK RD",
"address_2": "SUITE 415",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037913",
"telephone_number": "270-442-0103",
"fax_number": "270-442-0109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYKINS",
"first_name": "TARA",
"middle_name": "L",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "KY",
"license": "3005317",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "KY",
"license": "3005317",
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "KY",
"license": "3005317",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100141380",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.