Lisa L Spillman, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3002247 Issued in KY

Practice address

2605 Kenutcky Ave
Suite 3 BLDG 3
Paducah, KY 42003

Phone

(270) 443-7534

Fax

(270) 442-0309

NPI assigned

May 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Baptist Health Medical Group Inc

  • Family Medicine Physician
  • Paducah, KY
  • NPI 1922401611

  Nurse Practitioner

  Medicare reassignment NPD
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD
• Baptist Health Medical Group Inc

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1780961300

  Nurse Practitioner

  NPD (past)
• Purchase District Health Department

  • Home Health Agency
  • Paducah, KY
  • NPI 1437113156
  NPD (past)
• Purchase District Health Dept

  • Public Health or Welfare Agency
  • Murray, KY
  • NPI 1164459384
  NPD (past)

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

{
    "created_epoch": "1117065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1790788420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 KENUTCKY AVE",
            "address_2": "SUITE 3 BLDG 3",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033804",
            "telephone_number": "270-443-7534",
            "fax_number": "270-442-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 KENUTCKY AVE",
            "address_2": "SUITE 3 BLDG 3",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42003",
            "telephone_number": "270-443-7534",
            "fax_number": "270-442-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLMAN",
        "first_name": "LISA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-26",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3002247",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3002247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78001369",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lspillman29807@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2605 Kenutcky Ave",
            "address_2": "Suite 3 Bldg 3",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "42003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly M Spearman
• Speech Therapy Services
• Rebecca J Spencer, MD
• Daly Lynn Spicer
• Donald L Spicer, M.D.
• Morgan Paige Sporea, TCADC
• Laneir Sprague
• Stanley H Sprei, MD
• Maria Jean Sprunger, MSN,CNM
• Ssac, LLC

• Nurse Practitioner in Paducah, KY
• Providers in Paducah, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.