Active NPI
Lola Faye Houston, N.P.
- Gerontology Nurse Practitioner
- Henderson, KY
National Provider Identifier
1407805526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 3002129
- Practice address
- 319 8TH St
Suite 1
Henderson, KY 42420-2963 - Phone
- (270) 827-5657
- Fax
- (270) 827-8833
- NPI assigned
- May 8, 2006
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 3002129 | KY | Primary |
Addresses
Primary practice location
319 8TH St
Suite 1
Henderson, KY 42420-2963
Mailing address
1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 631-2412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78001450 | Medicaid | KY |
Other names 1
- Lola Faye Hewlett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3002129 | KY | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478131200000",
"number": "1407805526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 N ELM ST",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424202783",
"telephone_number": "270-631-2412",
"fax_number": "270-827-7530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 8TH ST",
"address_2": "SUITE 1",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424202963",
"telephone_number": "270-827-5657",
"fax_number": "270-827-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "LOLA",
"middle_name": "FAYE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2016-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "KY",
"license": "3002129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78001450",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LOLA",
"last_name": "HEWLETT",
"middle_name": "FAYE",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.