Individual provider Active NPI

Lydia Phipps, APRN

  • Family Nurse Practitioner
  • West Liberty, KY
National Provider Identifier
1659197382
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4029369 Issued in KY
Practice address
5908 Highway 460 E
West Liberty, KY 41472-7654
Phone
(606) 207-1561
NPI assigned
Nov 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4029369 KY Primary

Addresses

Primary practice location

5908 Highway 460 E
West Liberty, KY 41472-7654

Mailing address

5908 Highway 460 E
West Liberty, KY 41472-7654
Phone (606) 207-1561

Other names 1

  • Lydia Holbrook Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250225003057 KY Practitioner - Nurse Practitioner 2668992371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Clinics of Kentucky LLCGroup PAC ID 2668457094, 15 clinicians

Practice addresses (Care Compare)

1060 Grand Ave
Beattyville, KY 41311-9104
Phone (606) 464-0108

219 Mountain Pkwy Spur Rd
Campton, KY 41301-8988
Phone (606) 668-3120

633 Prestonsburg St
West Liberty, KY 41472-1143
Phone (606) 347-3477

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4029369KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Clinics of Kentucky LLC CurrentSince Feb 3, 2025 Accepting new patients
United Clinics of Kentucky LLC CurrentSince Feb 3, 2025 Accepting new patients
United Clinics of Kentucky LLC Past Accepting new patients

Locations

95 Jackson Hts
Ste A
Jackson, KY 41339
Phone (606) 718-6505

172 Pedro Way
Winchester, KY 40391
Phone (859) 306-8368

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1659197382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 HIGHWAY 460 E",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414727654",
            "telephone_number": "606-207-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 HIGHWAY 460 E",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414727654",
            "telephone_number": "606-207-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "LYDIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4029369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "HOLBROOK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Liberty, KY

Sources for this page

Verify at the official NPI Registry.