Individual provider Active NPI

Laura Lynne Hieronymus, DNP, RN, MLDE

  • Diabetes Educator Registered Nurse
  • Lexington, KY
National Provider Identifier
1558893263
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
129917 Issued in KY
Practice address
2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3504
Phone
(859) 218-5781
Fax
(859) 257-0659
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 1041742 KY
Diabetes Educator Registered Nurse 163WD0400X 129917 KY Primary

Addresses

Primary practice location

2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3504

Mailing address

830 S. Limestone, University Health Services Building
4TH Floor Barnstable Brown Diabetes Center
Lexington, KY 40356-0284
Phone (859) 323-5407

Other practice location 1

830 S. Limestone
UK HealthCare Barnstable Bown Diabetes Center
Lexington, KY 40536
Phone (859) 218-5781

Other names 1

  • Laura Bertram Hieronymus Other name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1041742KYMDDiabetes Educator Registered Nurse
129917KYMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1558893263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S. LIMESTONE, UNIVERSITY HEALTH SERVICES BUILDING",
            "address_2": "4TH FLOOR BARNSTABLE BROWN DIABETES CENTER",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "403560284",
            "telephone_number": "859-323-5407",
            "fax_number": "859-257-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 HARRODSBURG RD STE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043504",
            "telephone_number": "859-218-5781",
            "fax_number": "859-257-0659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 S. Limestone",
            "address_2": "UK HealthCare Barnstable Bown Diabetes Center",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40536",
            "country_code": "US",
            "telephone_number": "859-218-5781",
            "fax_number": "859-257-0487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIERONYMUS",
        "first_name": "LAURA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DNP, RN, MLDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "KY",
            "license": "1041742",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "KY",
            "license": "129917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "HIERONYMUS",
            "middle_name": "BERTRAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.