Willow Tree Pediatrics of Lexington

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WILLOW TREE PEDIATRICS OF LEXINGTON

Practice address

2036 Regency Rd Ste 2
Lexington, KY 40503-2309

Phone

(859) 286-9046

Fax

(859) 276-3726

NPI assigned

Jun 9, 2020

Organization subpart

No

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

Authorized official

Name

Lori Denison, APRN

Title

Owner

Phone

(859) 286-9046

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: loridenison@wtpl.allscriptsdirect.net
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/11518843

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Fredric Denison, D.D.S.

  • General Practice Dentistry
  • Lexington, KY
  • NPI 1710058862
  NPD (past)

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1942825658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 REGENCY RD STE 2",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032309",
            "telephone_number": "859-286-9046",
            "fax_number": "859-276-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 REGENCY RD STE 2",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032309",
            "telephone_number": "859-286-9046",
            "fax_number": "859-276-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE PEDIATRICS OF LEXINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2023-03-07",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "DENISON",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-286-9046",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "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": "7100622640",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Lauren Elizabeth Willis, PHARMD, BCOP
• Shirley Ann Willis, CTRS, ADC
• Jason Alexander Willoughby, MHS, OTR/L, CHT
• Laura Denise Willoughby, OT
• Willow Creek Counseling Center LLC
• Jeffrey W Wills, PT
• Lucius Willson, ATC
• Theresa Ann Wilp, APRN
• H Andrew Wilsey, PHARMD
• Andrea Taylor Wilson Graf

• Family Nurse Practitioner in Lexington, KY
• Providers in Lexington, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.