Active NPI
Lori Bradley, APRN
- Nurse Practitioner
- Hazard, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3007224
- Practice address
- 200 Medical Center Dr
Suite 2M
Hazard, KY 41701-9466 - Phone
- (606) 487-1818
- Fax
- (606) 487-8448
- NPI assigned
- Nov 9, 2011
- Last updated
- Jun 25, 2024
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3007224 | KY | Primary |
Addresses
Primary practice location
200 Medical Center Dr
Suite 2M
Hazard, KY 41701-9466
Mailing address
200 Medical Center Dr
Suite 2M
Hazard, KY 41701-9466
Phone (606) 487-1818
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3007224 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brock Medical, LLC | Nurse Practitioner | Current | Accepting new patients |
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| Mountain After Hours Clinic PSC | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| Fast Pace Kentucky, PLLC | Current | Accepting new patients | |
| Jackson Physician Corp | Past | Accepting new patients | |
| Fast Pace Kentucky, PLLC | Past | Accepting new patients |
Locations
110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059
1873 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 404-6450
1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111
1908 N Main St
Ste 120
Hazard, KY 41701
Phone 60643926622038
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
480 Bullion Blvd
#B
Winchester, KY 40391
Phone (859) 385-4222
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AIEDDD
Organizations & group practices 7
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.
-
dba Fast Pace Urgent Care
- Family Nurse Practitioner
- Franklin, KY
- NPI 1457716706
-
- Rural Health Clinic/Center
- Hazard, KY
- NPI 1477638880
-
dba Fast Pace Health
- Rural Health Clinic/Center
- Spindale, NC
- NPI 1942027891
-
- Rural Health Clinic/Center
- Bardstown, KY
- NPI 1184381444
-
dba Jackson Orthopedic Clinic
- Durable Medical Equipment & Medical Supplies
- Jackson, KY
- NPI 1063712701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1447537105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MEDICAL CENTER DR",
"address_2": "SUITE 2M",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019466",
"telephone_number": "606-487-1818",
"fax_number": "606-487-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL CENTER DR",
"address_2": "SUITE 2M",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019466",
"telephone_number": "606-487-1818",
"fax_number": "606-487-8448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "LORI",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-09",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3007224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.