Individual provider Active NPI

Lasondra Bean, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1710126941
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016657 Issued in KY
Practice address
201 Park St
Bowling Green, KY 42101-1708
Phone
(702) 781-5111
Fax
(270) 780-0474
NPI assigned
Feb 11, 2009
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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 13838 TN
Family Nurse Practitioner 363LF0000X 3016657 KY Primary

Addresses

Primary practice location

201 Park St
Bowling Green, KY 42101-1708

Mailing address

201 Park St
Bowling Green, KY 42101-1708
Phone (702) 781-5111

Other names 1

  • Ms. Lasondra Browniece Cole Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NV, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110426000768 TN Practitioner - Nurse Practitioner 1850576307 Reassigns benefits to 1 organization
I20190516001691 NV Practitioner - Nurse Practitioner 1850576307
I20220524000936 KY Practitioner - Nurse Practitioner 1850576307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians

Practice addresses (Care Compare)

201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Graves Gilbert Clinic PLLC CurrentSince Jan 23, 2023 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Jan 23, 2023 Accepting new patients
Healthcare Partners Medical Group Coats LTD Current Accepting new patients
Signify Health, LLC CurrentSince May 11, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 26, 2022 Accepting new patients
Southwest Medical Associates, Inc PastSince Mar 21, 2005 Accepting new patients

Locations

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

1330 N Race St
Glasgow, KY 42141
Phone (270) 629-2780

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: lasondrabean@ggc.allscriptsdirect.net

Organizations & group practices 6

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 3

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": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1710126941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011708",
            "telephone_number": "702-781-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011708",
            "telephone_number": "702-781-5111",
            "fax_number": "270-780-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "LASONDRA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13838",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LASONDRA",
            "last_name": "COLE",
            "middle_name": "BROWNIECE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.