Individual provider Active NPI

Lon Lafferty, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1922820927
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4029661 Issued in KY
Practice address
2440 Bardstown Rd
Louisville, KY 40205-2123
Phone
(502) 632-0984
NPI assigned
Oct 30, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4029661 KY Primary

Addresses

Primary practice location

2440 Bardstown Rd
Louisville, KY 40205-2123

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

Other practice location 1

9080 Taylorsville Rd
Louisville, KY 40299-1750
Phone (502) 499-9998

Other practice location 2

3039 Breckenridge Ln
Louisville, KY 40220-2101
Phone (502) 451-4555

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250114003896 KY Practitioner - Nurse Practitioner 8022546316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

1265 Goss Ave
Louisville, KY 40217-2271
Phone (502) 873-1260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4029661KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Nov 17, 2024 Accepting new patients

Locations

1265 Goss Ave
Louisville, KY 40217
Phone (502) 634-0649

9080 Taylorsville Rd
Louisville, KY 40299
Phone (502) 491-8805

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

2440 Bardstown Rd
Louisville, KY 40205
Phone (502) 459-3248

Interoperability endpoints

  • Direct secure messaging: lon.lafferty@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1922820927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052123",
            "telephone_number": "502-632-0984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9080 Taylorsville Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402991750",
            "country_code": "US",
            "telephone_number": "502-499-9998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3039 Breckenridge Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402202101",
            "country_code": "US",
            "telephone_number": "502-451-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFFERTY",
        "first_name": "LON",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-30",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4029661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.