Individual provider Active NPI

Lorissa A Dias, APRN

  • Family Nurse Practitioner
  • Elkton, KY
National Provider Identifier
1609307743
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4012374 Issued in KY
Practice address
810 S Main St
Elkton, KY 42220-8812
Phone
(270) 265-5600
Fax
(270) 265-5605
NPI assigned
Mar 21, 2017
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4012374 KY Primary
Family Nurse Practitioner 363LF0000X 22446 TN

Addresses

Primary practice location

810 S Main St
Elkton, KY 42220-8812

Mailing address

PO Box 277
Elkton, KY 42220-0277
Phone (270) 265-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171109002017 TN Practitioner - Nurse Practitioner 3971869801 Reassigns benefits to 2 organizations
I20250725003611 KY Practitioner - Nurse Practitioner 3971869801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elkton Clinic PSCGroup PAC ID 5597952861, 2 clinicians

Practice addresses (Care Compare)

713 W Main St
Elkton, KY 42220-9229
Phone (270) 265-5653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22446TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands Health Clinic Inc CurrentSince Feb 2, 2026 Accepting new patients
Helping Hands Health Clinic Inc Family CurrentSince Feb 2, 2026 Accepting new patients
White House Pain Institute LLC Current Accepting new patients
Montgomery Pain Institute PC CurrentSince Apr 6, 2023 Accepting new patients
Jennie Stuart Medical Center Inc PastSince Jul 1, 2025 Accepting new patients

Locations

810 S Main St
Elkton, KY 42220
Phone (270) 265-5600

1849 Madison St
Ste F
Clarksville, TN 37043
Phone (615) 479-5389

502 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-4104

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1609307743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "422200277",
            "telephone_number": "270-265-5600",
            "fax_number": "270-265-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S MAIN ST",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "422208812",
            "telephone_number": "270-265-5600",
            "fax_number": "270-265-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAS",
        "first_name": "LORISSA",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4012374",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, KY

Sources for this page

Verify at the official NPI Registry.