Lisa Banks, LPN
Individual provider Active NPI Licensed Practical Nurse · Morehead, KY
NPI 1962746891 · NPPES record last updated Nov 15, 2012
Key facts
- NPI
- 1962746891
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 2035656 (KY)
- Practice address
- 100 Horizon Way
Morehead, KY 40351-8437 - Phone
- (606) 785-4161
- Fax
- (606) 783-9952
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2035656 | KY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways, Inc. | Past | Accepting new patients | |
| Pathways, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 2035656 | KY | Yes |
Addresses
Primary practice location
100 Horizon Way
Morehead, KY 40351-8437
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30610026 | Medicaid | KY |
Other providers in Morehead, KY
- Timothy Grant Ball
- Ballard C Smith PLLC
- Peggy E Ballard
- Beth Emily Bandy
- Ashton Banfield
- Catarina Baptista
- Jennifer Renee Barker
- Carol J Barnett
- Bath Medical Transportation Inc.
- Kara Bauer
All providers in Morehead, KY · Licensed Practical Nurse in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.