Individual provider Active NPI

Lora Erin Mobley, APRN

  • Family Nurse Practitioner
  • Monticello, KY
National Provider Identifier
1962927004
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011513 Issued in KY
Practice address
166 Hospital St
Monticello, KY 42633-2430
Phone
(606) 340-3251
Fax
(606) 348-0618
NPI assigned
Aug 10, 2017
Last updated
Aug 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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 3011513 KY Primary

Addresses

Primary practice location

166 Hospital St
Monticello, KY 42633-2430

Mailing address

166 Hospital St
Monticello, KY 42633-2430
Phone (606) 348-9343

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
I20170831001441 KY Practitioner - Nurse Practitioner 8921371642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Hospice of Lake Cumberland IncGroup PAC ID 9032153382, 3 clinicians

Practice addresses (Care Compare)

100 Pkwy Dr
Somerset, KY 42503-3450
Phone (606) 679-4389

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3011513KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Sep 5, 2018 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Sep 5, 2018 Accepting new patients
Hospice of Lake Cumberland, Inc. CurrentSince Sep 7, 2019 Accepting new patients

Locations

15100 N US Highway 25 E
Ste 1
Corbin, KY 40701
Phone (606) 261-2054

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

100 Parkway Dr
Somerset, KY 42503
Phone (606) 679-4389

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1962927004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332430",
            "telephone_number": "606-348-9343",
            "fax_number": "606-340-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332430",
            "telephone_number": "606-340-3251",
            "fax_number": "606-348-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "LORA",
        "middle_name": "ERIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

Verify at the official NPI Registry.