K Tierney Lanham LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

K TIERNEY LANHAM LLC

Practice address

2120 Payne St
Louisville, KY 40206-2012

Phone

(812) 491-1307

Fax

(812) 492-6498

NPI assigned

Nov 6, 2020

Organization subpart

No

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

Authorized official

Name

Kathleen Tierney Lanham, APRN

Title

Owner

Phone

(502) 552-8597

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1841891645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 PAYNE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062012",
            "telephone_number": "812-491-1307",
            "fax_number": "812-492-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K TIERNEY LANHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "LANHAM",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "TIERNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-552-8597",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100703560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.