Larry Trent Conley, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3018666 Issued in KY

Practice address

1908 N Main St Ste 240
Hazard, KY 41701-2503

Phone

(606) 439-2662

NPI assigned

Dec 1, 2022

Last updated

Dec 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain After Hours Clinic PSCGroup PAC ID 0547170102, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIEDDD
• FHIR API: https://fhir4.healow.com/fhir/r4/GIIEDD
• Direct secure messaging: larry.conley.p1@direct.kymha.nextgenshare.com
• Direct secure messaging: larry.conley@mahc.eclinicaldirectplus.com

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.

• Mountain After Hours Clinic PSC

  • Rural Health Clinic/Center
  • Hazard, KY
  • NPI 1477638880
  Medicare reassignment Care Compare group NPD
• Quantum Healthcare Associates of Cumberland, Inc

  • Rural Health Clinic/Center
  • Cumberland, KY
  • NPI 1255603619
  Medicare reassignment NPD

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1720798606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 BIG BRANCH ROAD",
            "city": "HINDMAN",
            "state": "KY",
            "postal_code": "41822",
            "telephone_number": "606-497-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N MAIN ST STE 240",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012503",
            "telephone_number": "606-439-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "LARRY",
        "middle_name": "TRENT",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3018666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Care Pharmacy PLLC (Complete Care Pharmacy)
• Comprehensive Hospitalist Services of Kentucky LLC
• Shawn Compton, APRN
• Breanne Conley
• Ericka Conley
• Mary Ellen Conley, NURSE PRACTITIONER
• Dharma Cook, RN
• Elaine Cook
• Cooley Medical Equipment, Inc. (Quipt Home Medical)
• Bobby Coots

• Psychiatric/Mental Health Nurse Practitioner in Hazard, KY
• Providers in Hazard, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.
• 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.

Verify at the official NPI Registry.