Active NPI
Ohana Care of Lake Cumberland, LLC
- Family Nurse Practitioner
- Somerset, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- OHANA CARE OF LAKE CUMBERLAND, LLC
- Practice address
- 310 W Columbia St
Somerset, KY 42501-1618 - Phone
- (606) 331-5328
- Fax
- (859) 207-6700
- NPI assigned
- Nov 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Beth Pence
- Title
- Owner/Aprn
- Phone
- (606) 331-5328
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
310 W Columbia St
Somerset, KY 42501-1618
Mailing address
650 S Highway 27 # 308
Somerset, KY 42501-3501
Phone (606) 331-5328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386051068 | Other | KY | NPI INDIVIDUAL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ohanacarelc@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230203000663 | KY | Part B Supplier - Clinic/Group Practice | 7618349408 |
Receives reassigned benefits from 1 practitioner Practice locations: Somerset, KY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2273243 | Ohana Care of Lake Cumberland, LLC | Certificate of waiver | Dec 8, 2026 |
National Provider Directory
National Provider DirectoryLocations
650 S Highway 27
#308
Somerset, KY 42501
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1609586122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 S HIGHWAY 27 # 308",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425013501",
"telephone_number": "606-331-5328",
"fax_number": "859-207-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W COLUMBIA ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425011618",
"telephone_number": "606-331-5328",
"fax_number": "859-207-6700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHANA CARE OF LAKE CUMBERLAND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-28",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "PENCE",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "BETH",
"authorized_official_title_or_position": "OWNER/APRN",
"authorized_official_telephone_number": "606-331-5328"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL",
"identifier": "1386051068",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ohanacarelc@gmail.com",
"affiliation": "N",
"endpointDescription": "business email",
"address_1": "100 Hardin Ln Ste 3 1/2",
"city": "Somerset",
"state": "KY",
"country_code": "US",
"postal_code": "425033812",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.