Active NPI
Recovery Genix LLC
- Addiction Medicine (Preventive Medicine) Physician
- Lawrenceburg, KY
National Provider Identifier
1225719404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- Legal business name
- RECOVERY GENIX LLC
- Practice address
- 505 Humston Dr
Lawrenceburg, KY 40342-1927 - Phone
- (270) 543-7557
- NPI assigned
- Jul 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Hardison, APRN
- Title
- Ceo
- Phone
- (270) 543-7557
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | Primary | ||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Gerontology Nurse Practitioner | 363LG0600X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
505 Humston Dr
Lawrenceburg, KY 40342-1927
Mailing address
3064 Pea Ridge Rd
Waddy, KY 40076-6107
Phone (270) 543-7557
National Provider Directory
National Provider DirectoryLocations
505 Humston Dr
Lawrenceburg, KY 40342
Phone (270) 543-7557
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Lawrenceburg, KY
- NPI 1851922744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698105600000",
"number": "1225719404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3064 PEA RIDGE RD",
"city": "WADDY",
"state": "KY",
"postal_code": "400766107",
"telephone_number": "270-543-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 HUMSTON DR",
"city": "LAWRENCEBURG",
"state": "KY",
"postal_code": "403421927",
"telephone_number": "270-543-7557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVERY GENIX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-31",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A",
"authorized_official_last_name": "HARDISON",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "270-543-7557",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.