Lisa Dawn Bond, LPP
Individual provider Active NPI Clinical Psychologist · Lexington, KY
NPI 1801059043 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1801059043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 175264 (KY)
- Practice address
- 161 Prosperous PL
Lexington, KY 40509-1898 - Phone
- (859) 368-0609
- Fax
- (859) 368-9767
- NPI assigned
- Jul 8, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0905 | KY | MD | Psychologist |
| 175264 | KY | MD | Clinical Psychologist |
Interoperability endpoints
- bbh.lisabond@140103.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0905 | KY | |
| Clinical Psychologist | 103TC0700X | 175264 | KY | Yes |
Addresses
Primary practice location
161 Prosperous PL
Lexington, KY 40509-1898
Mailing address
161 Prosperous PL
Lexington, KY 40509-1898
Phone (859) 368-0609
Other practice location 1
321 E Main St
Morehead, KY 40351-1671
Phone (606) 784-4161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000689151 | Other | ANTHEM BCBS | |
| 30610026 | Medicaid | KY |
Other names
- Lisa Dawn Hinkle
Other providers in Lexington, KY
- Niamh Bolton
- John J Bomalaski
- Sherrie Bonarigo
- Allen R Bond
- Jackson Bond
- Erica Dawn Bone
- Taren Bone
- Lauren A Bonzo
- Harrison Clay Booher
- Nicole Booker
All providers in Lexington, KY · Clinical Psychologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.