Active NPI
Lynne Lanham
- Primary Care Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 3015460
- Practice address
- 2133 W Market St
Louisville, KY 40212-1532 - Phone
- (502) 384-5807
- NPI assigned
- Feb 16, 2021
- Last updated
- Feb 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 3015460 | KY | Primary |
Addresses
Primary practice location
2133 W Market St
Louisville, KY 40212-1532
Mailing address
17004 Epson CT
Louisville, KY 40245-4483
Phone (502) 608-6185
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 W Broadway
Suite 4 and 13
Louisville, KY 40203-3595
Phone (502) 276-1273
645 S Roy Wilkins Ave
Suite 200
Louisville, KY 40203-2072
Phone (502) 244-9859
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Resource Services Inc Public Health and Wellness Center | Current | Accepting new patients | |
| 2022 LLC | Past | Accepting new patients | |
| 2022 LLC | Primary Care | Past | Accepting new patients |
Locations
2001 W Broadway
Ste 13
Louisville, KY 40203
Phone (502) 276-1273
2001 W Broadway
Ste 4
Louisville, KY 40203
Organizations & group practices 4
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.
-
- Health Service Clinic/Center
- Louisville, KY
- NPI 1437969300
-
dba Arch to Freedom Recovery Center
- Addiction (Substance Use Disorder) Counselor
- Louisville, KY
- NPI 1326885013
-
dba Arch to Freedom Recovery Center
- Family Nurse Practitioner
- Louisville, KY
- NPI 1821809153
Primary Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1285227728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17004 EPSON CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402454483",
"telephone_number": "502-608-6185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2133 W MARKET ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402121532",
"telephone_number": "502-384-5807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANHAM",
"first_name": "LYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-16",
"last_updated": "2021-02-16",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "KY",
"license": "3015460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.