Individual provider Active NPI

Lalona L Hall, APRN

  • Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1699908137
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3006137 Issued in KY
Practice address
12470 US Route 60
Ashland, KY 41102-9687
Phone
(606) 408-6303
Fax
(606) 408-6646
NPI assigned
Sep 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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 3006137 KY
Nurse Practitioner 363L00000X 3006137 KY Primary

Addresses

Primary practice location

12470 US Route 60
Ashland, KY 41102-9687

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200

Other practice location 1

609 N Carol Malone Blvd
Grayson, KY 41143-1123
Phone (606) 475-0152

Other practice location 2

399 Diederich Blvd
Ashland, KY 41101-7007
Phone (606) 324-8060

Other practice location 3

2245 Winchester Ave
Ashland, KY 41101-7848
Phone (606) 408-2600

Other identifiers 3

IdentifierTypeStateIssuer
3010600MedicaidOH
3810016173MedicaidWV
7100095120MedicaidKY

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
I20091205000162 KY Practitioner - Nurse Practitioner 6901945856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3006137KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky PLLC CurrentSince Feb 19, 2018 Accepting new patients
Brock Medical, LLC Nurse Practitioner CurrentSince Feb 19, 2018 Accepting new patients

Locations

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

480 Bullion Blvd
#B
Winchester, KY 40391
Phone (859) 385-4222

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1699908137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12470 US ROUTE 60",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411029687",
            "telephone_number": "606-408-6303",
            "fax_number": "606-408-6646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 N Carol Malone Blvd",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "KY",
            "postal_code": "411431123",
            "country_code": "US",
            "telephone_number": "606-475-0152",
            "fax_number": "606-474-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "399 Diederich Blvd",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017007",
            "country_code": "US",
            "telephone_number": "606-324-8060",
            "fax_number": "606-325-6889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2245 Winchester Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017848",
            "country_code": "US",
            "telephone_number": "606-408-2600",
            "fax_number": "606-408-6808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "LALONA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006137",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3010600",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810016173",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100095120",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.