Kelli Lassiter, APRN-CNP

Key facts

NPI

1750166914

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

4008819 (KY)

Practice address

107 Wells LN
Corbin, KY 40701-7861

Phone

(606) 260-3996

NPI assigned

Aug 28, 2023

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

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.

• London Women'S Care, LLC Obstetrics & Gynecology Physician · London, KY · NPI 1063454650
  Medicare reassignment Care Compare group KY

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

London Women'S Care LLC (37 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 28, 2023.

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1750166914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WELLS LN",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407017861",
            "telephone_number": "606-260-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WELLS LN",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407017861",
            "telephone_number": "606-260-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSITER",
        "first_name": "KELLI",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4008819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

• Stephanie D Landes, FNP-BC
• Tony Wayne Landrum, BSN
• Tommy Lanham
• Callie Mackenzie Lankford
• Kayla Lankheit, OD
• David J Lauber, M.D.
• Sonya Lawless, APRN
• Amanda Jo Lawson, BS
• Brianna Lawson
• Glena Faye Lawson, BA, BS

All providers in Corbin, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky