Mandy Lockhart, APRN-CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4023854 Issued in KY

Practice address

14949 N US Highway 25 E Ste 3
Corbin, KY 40701-6285

Phone

(606) 280-4212

Fax

(606) 215-3816

NPI assigned

Apr 26, 2024

Last updated

Dec 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mandy.lockhart.1@30529.direct.athenahealth.com

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.

• Trinity Family Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Corbin, KY
  • NPI 1508640038
  Medicare reassignment NPD
• Trinity Family Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Corbin, KY
  • NPI 1992589741
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1356197776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14949 N US HIGHWAY 25 E STE 3",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407016285",
            "telephone_number": "606-280-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14949 N US HIGHWAY 25 E STE 3",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407016285",
            "telephone_number": "606-280-4212",
            "fax_number": "606-215-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "MANDY",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4023854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Nicole Liford, CRNA
• Amy Jo Linn, BA
• Shannon Michelle Lipsteuer, LMT
• Lisa Ann Maynes First Steps Provider
• Lauren Lockaby, PT, DPT
• Jessica Lynn Logan, APRN, FNP-BC
• Monica Kaitlyn Logan, PA-C
• Angela Logston-Flannery, LPCC
• Bridget Donell Long, MA
• Lisa N Long, FNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Corbin, KY
• Providers in Corbin, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.

Verify at the official NPI Registry.