Theresa Ann Wilp, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3007434 Issued in KY

Practice address

1221 S Broadway
Lexington, KY 40504

Phone

(859) 258-6101

Fax

(859) 258-4411

NPI assigned

May 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Isaiah House IncGroup PAC ID 7113262163, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Isaiah House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Willisburg, KY
  • NPI 1396086559
  Medicare reassignment Care Compare group NPD
• Brock Medical, LLC

  • Nurse Practitioner
  • London, KY
  • NPI 1023379815
  Medicare reassignment NPD
• Kentucky Mso LLC

  • Gastroenterology Physician
  • Georgetown, KY
  • NPI 1164867883

  Nurse Practitioner

  Medicare reassignment NPD
• Primary Care of the Bluegrass, LLC

  • Primary Care Clinic/Center
  • Crab Orchard, KY
  • NPI 1942463096

  Nurse Practitioner

  Medicare reassignment NPD
• Fast Pace Kentucky PLLC

  • Rural Health Clinic/Center
  • Corbin, KY
  • NPI 1669256913
  NPD
• Kentucky Mso LLC

  • Family Medicine Physician
  • Versailles, KY
  • NPI 1710232400
  NPD
• Kentucky Mso LLC

  • Rural Health Clinic/Center
  • Lawrenceburg, KY
  • NPI 1922860758
  NPD
• Real Health Primary Care LLC

  • Internal Medicine Physician
  • Danville, KY
  • NPI 1023691813

  Family

  NPD
• Isaiah House Inc

  • Family Medicine Physician
  • Harrodsburg, KY
  • NPI 1629949904
  NPD (past)
• Isaiah House Inc

  • Internal Medicine Physician
  • Danville, KY
  • NPI 1710587555
  NPD (past)
• Lexington Primary Care LLC

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1194741017

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1376803676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6101",
            "fax_number": "859-258-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40504",
            "telephone_number": "859-258-6101",
            "fax_number": "859-258-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 Wellington Way",
            "address_2": "Suite 245",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405131258",
            "country_code": "US",
            "telephone_number": "859-278-8772",
            "fax_number": "859-303-8852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 Wellington Way",
            "address_2": "Suite 245",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405131258",
            "country_code": "US",
            "telephone_number": "859-278-8772",
            "fax_number": "859-303-8852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILP",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007434",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Denise Willoughby, OT
• Willow Creek Counseling Center LLC
• Willow Tree Pediatrics of Lexington
• Jeffrey W Wills, PT
• Lucius Willson, ATC
• H Andrew Wilsey, PHARMD
• Andrea Taylor Wilson Graf
• Wilson Pediatric Therapy LLC
• Wilson Pediatric Therapy LLC
• Wilson Pediatric Therapy LLC

• Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.