Joyce Denise Thacker, APRN-AG

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

3009100 Issued in KY

Practice address

989 Governors LN Ste 180
Lexington, KY 40513-1174

Phone

(859) 274-2296

NPI assigned

Jul 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Caremed Health Solutions of Kentucky, LLC

  • Multi-Specialty Clinic/Center
  • Ashland, KY
  • NPI 1326789462
  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  KY

  Medicare reassignment NPD

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1649654880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 MCCROSKEY DRIVE",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "40353",
            "telephone_number": "859-274-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 GOVERNORS LN STE 180",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131174",
            "telephone_number": "859-274-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "JOYCE",
        "middle_name": "DENISE",
        "credential": "APRN-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "KY",
            "license": "3009100",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3009100",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3009100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason E Tewmey, PA
• Elishadie Tezera, DMD
• Dirk B Thacker, MD
• Hannah Paige Thacker, PHARMD
• Jeremy Wayne Thacker, M.D.
• Pratibha Sahil Thakkar, MD, MPH
• Nimish Thakral, MD
• Kshitij Thakur, M.D.
• Anna Rachele Thamann, M.D.
• Mangayarkarasi Thandampallayam Ajjeya Gowder, MD

• Adult Health Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Adult Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.