Active NPI
Lucreasie Lewis, ARNP
- Women's Health Nurse Practitioner
- Hazard, KY
National Provider Identifier
1821070053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 2973P
- Practice address
- 441 Gorman Hollow Rd
Hazard, KY 41701-2315 - Phone
- (606) 439-2361
- Fax
- (606) 439-0870
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 1058965 | KY | |
| Women's Health Nurse Practitioner | 363LW0102X | 2973P | KY | Primary |
Addresses
Primary practice location
441 Gorman Hollow Rd
Hazard, KY 41701-2315
Mailing address
441 Gorman Hollow Rd
Hazard, KY 41701-2315
Phone (606) 439-2361
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000112279 | Other | KY | ANTHEM BC BS |
| 20036018 | Medicaid | KY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050624000269 | KY | Practitioner - Nurse Practitioner | 2860437316 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1058965 | KY | MD | Community Health Registered Nurse |
| 2973P | KY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky River District Health Department | Current | Accepting new patients | |
| Kentucky River District Health Department | Past | Accepting new patients | |
| Kentucky River District Health Department | Past | Accepting new patients | |
| Kentucky River District Health Department | Past | Accepting new patients |
Locations
48 Center St
Beattyville, KY 41311
Phone (606) 464-2492
441 Gorman Hollow Rd
Hazard, KY 41701
Phone (606) 439-2361
880 W Main St
Hindman, KY 41822
Phone (606) 785-3144
Organizations & group practices 5
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.
-
- Public Health or Welfare Agency
- Hindman, KY
- NPI 1992719785
KY
-
- Public Health or Welfare Agency
- Beattyville, KY
- NPI 1689682106
-
- Public Health or Welfare Agency
- Hazard, KY
- NPI 1154335925
-
- Public Health or Welfare Agency
- Booneville, KY
- NPI 1750397139
-
- Public Health or Welfare Agency
- Campton, KY
- NPI 1780698563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1821070053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 GORMAN HOLLOW RD",
"city": "HAZARD",
"state": "KY",
"postal_code": "417012315",
"telephone_number": "606-439-2361",
"fax_number": "606-439-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 GORMAN HOLLOW RD",
"city": "HAZARD",
"state": "KY",
"postal_code": "417012315",
"telephone_number": "606-439-2361",
"fax_number": "606-439-0870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "LUCREASIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "KY",
"license": "1058965",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "KY",
"license": "2973P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "000000112279",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20036018",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.