Lisa Kay Estep, NP
Individual provider Active NPI Family Nurse Practitioner · South Williamson, KY
NPI 1306323290 · NPPES record last updated Sep 14, 2018
Key facts
- NPI
- 1306323290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1117281 (KY)
- Practice address
- 260 Hospital Dr
South Williamson, KY 41503-4072 - Phone
- (606) 237-1700
- NPI assigned
- Jul 24, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180926001944 | KY | Practitioner - Nurse Practitioner | 4789935008 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1117281 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamson Emergency Physicians LLC | Current |
Accepting new patients | |
| Green Valley Emergency Physicians, LLC | Family | Current |
Accepting new patients |
Locations
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700
200 Corporate Blvd
Lafayette, LA 70508
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1117281 | KY | Yes |
Addresses
Primary practice location
260 Hospital Dr
South Williamson, KY 41503-4072
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other providers in South Williamson, KY
- Dr. Gary T Smith Family Eye Care Inc
- Dr. Narpat S. Panwar, M.D., Inc.
- Eldron, Inc
- Gregory Elliott
- Nick Arnold England Jr.
- Family Medical Center
- Kelli J Farmer
- Hazel Maria Ferrell
- Bryan Fields
- Chad Fite
All providers in South Williamson, KY · Family 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 Sep 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.