Active NPI
Befree Centers LLC
- Addiction Medicine (Internal Medicine) Physician
- Lexington, KY
National Provider Identifier
1831576198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- BEFREE CENTERS LLC
- Practice address
- 2387 Professional Heights Dr
Suite 10
Lexington, KY 40503-3004 - Phone
- (859) 967-9486
- Fax
- (859) 368-7780
- NPI assigned
- May 6, 2015
- Last updated
- Jun 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Wagner, MSN, APRN
- Title
- MG MBR
- Phone
- (859) 967-9486
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | KY | Primary | |
| Nurse Practitioner | 363L00000X | 3002772 | KY |
Addresses
Primary practice location
2387 Professional Heights Dr
Suite 10
Lexington, KY 40503-3004
Mailing address
2387 Professional Heights Dr
Suite 10
Lexington, KY 40503
Phone (859) 967-9486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | KY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Lexington, KY
- NPI 1710972260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434499200000",
"number": "1831576198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2387 PROFESSIONAL HEIGHTS DR",
"address_2": "SUITE 10",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40503",
"telephone_number": "859-967-9486",
"fax_number": "859-368-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2387 PROFESSIONAL HEIGHTS DR",
"address_2": "SUITE 10",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405033004",
"telephone_number": "859-967-9486",
"fax_number": "859-368-7780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEFREE CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-06",
"last_updated": "2015-06-17",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "MG MBR",
"authorized_official_telephone_number": "859-967-9486",
"authorized_official_credential": "MSN, APRN"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": "KY",
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3002772",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "KY"
}
],
"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 Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.