Debra Hardison, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

3014154 Issued in KY

Practice address

503 Humston Dr
Lawrenceburg, KY 40342-1927

Phone

(502) 517-0506

Fax

(502) 517-4259

NPI assigned

Jan 29, 2020

Last updated

Sep 3, 2024By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vip Community Health LLCGroup PAC ID 7618339326, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Vip Community Health LLC

  • Rural Health Clinic/Center
  • Lawrenceburg, KY
  • NPI 1457041980

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vip Community Health LLC

  • Rural Health Clinic/Center
  • Lawrenceburg, KY
  • NPI 1457041980
  Medicare reassignment Care Compare group NPD Authorized official
• Recovery Genix LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Lawrenceburg, KY
  • NPI 1225719404

  Adult Health

  NPD Authorized official
• Vip Community Health LLC

  • Multi-Specialty Clinic/Center
  • Lawrenceburg, KY
  • NPI 1568152098
  NPD Authorized official

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1851922744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 HUMSTON DR",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403421927",
            "telephone_number": "502-517-0506",
            "fax_number": "502-517-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 HUMSTON DR",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403421927",
            "telephone_number": "502-517-0506",
            "fax_number": "502-517-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDISON",
        "first_name": "DEBRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3014154",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3014154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgett Hagan
• Sherry Faye Hahn
• Amber Paige Hall, BS
• Melodie L Hall
• Russell B Hall, MS
• William E Harris, MS, EDS
• Head to Toe Therapy
• Heather Roach OT
• Joseph Hicks, APSS
• Kenneth E Hines, MD

• Adult Health Nurse Practitioner in Lawrenceburg, KY
• Providers in Lawrenceburg, KY by specialty
• Adult Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.