Active NPI
Theresa Noelle Lanham, D.O.
- Endocrinology, Diabetes & Metabolism Physician
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 05389
- Practice address
- 1000 Breckenridge St Ste 200
Owensboro, KY 42303-0876 - Phone
- (270) 691-8040
- Fax
- (270) 691-8049
- NPI assigned
- Apr 13, 2017
- Last updated
- Dec 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MB10757100 | NJ | |
| Internal Medicine Physician | 207R00000X | OT017578 | PA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | TP154 | KY | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 05389 | KY | Primary |
Addresses
Primary practice location
1000 Breckenridge St Ste 200
Owensboro, KY 42303-0876
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330
Other practice location 1
420 S 5th Ave
West Reading, PA 19611-2143
Phone (484) 628-8640
Other practice location 2
705 Haddonfield Berlin Rd
Voorhees, NJ 08043-3714
Phone (856) 679-0537
Other names 1
- Theresa N. Lynn
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tlanham117666@direct.owensborohealth.org | ||
| Direct Messaging Address | NJExchange@patientfirstclinics.com | Health Information Exchange (HIE) |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Breckenridge St
Owensboro, KY 42303-0876
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
2211 Mayfair Dr
Owensboro, KY 42301-4569
PO Box
Suite 23229
Owensboro, KY 42304-3229
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP154 | KY | MD | Internal Medicine Physician |
| 25MB10757100 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group, Inc | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Owensboro Health Medical Group, Inc | Internal Medicine | Past | Accepting new patients |
Locations
1000 Breckenridge St
Ste 200
Owensboro, KY 42303
Phone (270) 691-8040
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
Interoperability endpoints
- tlanham117666@direct.owensborohealth.org
Organizations & group practices 4
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.
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
dba Owensboro Health Diabetes and Endocrinology
- Family Medicine Physician
- Owensboro, KY
- NPI 1154746600
Endocrinology, Diabetes & Metabolism
-
dba Owensboro Health Medical Group - EKG Professional Services
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hartford, KY
- NPI 1629007430
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
-
dba Owensboro Health Twin Lakes Medical Center
- General Acute Care Hospital
- Leitchfield, KY
- NPI 1285221416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1972037208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23229",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423043229",
"telephone_number": "270-688-1330",
"fax_number": "270-688-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BRECKENRIDGE ST STE 200",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423030876",
"telephone_number": "270-691-8040",
"fax_number": "270-691-8049"
}
],
"practiceLocations": [
{
"address_1": "420 S 5th Ave",
"address_purpose": "LOCATION",
"city": "West Reading",
"state": "PA",
"postal_code": "196112143",
"country_code": "US",
"telephone_number": "484-628-8640",
"fax_number": "484-628-9003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "705 Haddonfield Berlin Rd",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080433714",
"country_code": "US",
"telephone_number": "856-679-0537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANHAM",
"first_name": "THERESA",
"middle_name": "NOELLE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-13",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MB10757100",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OT017578",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "KY",
"license": "TP154",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "KY",
"license": "05389",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tlanham117666@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "1000 Breckenridge St Ste 200",
"city": "Owensboro",
"state": "KY",
"country_code": "US",
"postal_code": "423030876",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "NJExchange@patientfirstclinics.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "705 Haddonfield Berlin Rd",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "080433714",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "THERESA",
"last_name": "LYNN",
"middle_name": "N.",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.