NPIMap

Organization Active NPI

Prism Wellness Solutions LLC

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1730953324
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PRISM WELLNESS SOLUTIONS LLC
Practice address
989 Governors LN Ste 140
Lexington, KY 40513-1174
Phone
(859) 494-9984
Fax
(859) 484-7186
NPI assigned
Nov 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Hoyt Noble, APRNNPI 1477272334
Title
Pmhnp / Ceo
Phone
(859) 494-9984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

989 Governors LN Ste 140
Lexington, KY 40513-1174

Mailing address

989 Governors LN Ste 140
Lexington, KY 40513-1174
Phone (859) 494-9984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240604002790 KY Part B Supplier - Clinic/Group Practice 2163964248 Receives reassigned benefits from 4 practitioners
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

989 Governors Ln
Ste 140
Lexington, KY 40513
Phone (859) 494-9984

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1730953324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 GOVERNORS LN STE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131174",
            "telephone_number": "859-494-9984",
            "fax_number": "833-973-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 GOVERNORS LN STE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131174",
            "telephone_number": "859-494-9984",
            "fax_number": "859-484-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM WELLNESS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "HOYT",
        "authorized_official_title_or_position": "PMHNP / CEO",
        "authorized_official_telephone_number": "859-494-9984",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.