Individual provider Active NPI

Teresa Susan Landrum, APRN

  • Family Nurse Practitioner
  • Barbourville, KY
National Provider Identifier
1548724537
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013116 Issued in KY
Practice address
1927 S US Highway 25E
Barbourville, KY 40906-7600
Phone
(606) 546-7777
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3013116 KY Primary

Addresses

Primary practice location

1927 S US Highway 25E
Barbourville, KY 40906-7600

Mailing address

PO Box 1535
Barbourville, KY 40906-5535
Phone (606) 627-6371

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190308001398 KY Practitioner - Nurse Practitioner 3375882327 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Urgent Care PLLCGroup PAC ID 9830344688, 29 clinicians
Preferred Healthcare IncorporatedGroup PAC ID 5294990057, 2 clinicians

Practice addresses (Care Compare)

1701 Nicholasville Rd
Suite 100
Lexington, KY 40503-1461
Phone (859) 466-8956

686 S Hwy 25 W
Williamsburg, KY 40769-1604
Phone (606) 549-5052

686 S Hwy 25W
Williamsburg, KY 40769-1604

Hospital & facility affiliations

  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3013116KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Healthcare Incorporated CurrentSince Oct 21, 2024 Accepting new patients
Lexington Urgent Care PLLC CurrentSince Sep 26, 2025 Accepting new patients
Man O War Urgent Care LLC CurrentSince Sep 26, 2025 Accepting new patients
Georgetown Urgent Care PLLC CurrentSince Sep 26, 2025 Accepting new patients
Berea Urgent Care LLC CurrentSince Sep 26, 2025 Accepting new patients
Onan Chiropractic PLLC CurrentSince Sep 26, 2025 Accepting new patients

Locations

234 Brenwood St
Berea, KY 40403
Phone (859) 985-0302

111 Osborne Way
#101
Georgetown, KY 40324
Phone (859) 466-8956

4097 Nichols Park Dr
Ste 108
Lexington, KY 40503
Phone (859) 245-2273

1701 Nicholasville Rd
Ste 100
Lexington, KY 40503
Phone (859) 466-8956

197 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 523-5310

432 Lexington Rd
Versailles, KY 40383
Phone (859) 523-5310

65 N Highway 25 W
Williamsburg, KY 40769
Phone (606) 549-0123

686 S Highway 25 W
Williamsburg, KY 40769
Phone (606) 549-5052

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1548724537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1535",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409065535",
            "telephone_number": "606-627-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 S US HIGHWAY 25E",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067600",
            "telephone_number": "606-546-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRUM",
        "first_name": "TERESA",
        "middle_name": "SUSAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barbourville, KY

Sources for this page

Verify at the official NPI Registry.