Active NPI
Laura Lynne Hieronymus, DNP, RN, MLDE
- Diabetes Educator Registered Nurse
- Lexington, KY
National Provider Identifier
1558893263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 129917
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1041742 | KY | MD | Diabetes Educator Registered Nurse |
| 129917 | KY | MD | Diabetes 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.