Stephanie D Landes, FNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3014119 Issued in KY

Practice address

192 Bacon Creek Rd
Corbin, KY 40701-8639

Phone

(606) 526-1900

NPI assigned

Aug 8, 2018

Last updated

Feb 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, KY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• PPL Therapeutic Services PLLC

  • Professional Counselor
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  • NPI 1104323252

  Multi-Specialty

  Medicare reassignment NPD
• Velocity Medical LLC

  dba Neighborhood Urgent Care

  • Psychiatric/Mental Health Nurse Practitioner
  • New Castle, KY
  • NPI 1013352269

  Multi-Specialty, TN

  Medicare reassignment NPD
• App of Tennessee HM, PLLC

  • Hospitalist Physician
  • Shelbyville, TN
  • NPI 1396160768

  Multi-Specialty

  Medicare reassignment NPD
• Kayla Lesher Aprn, PLLC

  dba Inclusion Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
  • NPI 1982275889
  NPD (past)

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1972082170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 OLD WOOLDRIDGE PIKE",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377623518",
            "telephone_number": "423-201-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 BACON CREEK RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018639",
            "telephone_number": "606-526-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "287 Baker St",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TN",
            "postal_code": "377563444",
            "country_code": "US",
            "telephone_number": "423-663-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDES",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24514",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3014119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Edward Lamb, BS
• Jason W Lambdin, BA
• Lauren Lambdin, RN
• Emily Lambert
• Kimberly Renee Lambert, BS, PE
• Tony Wayne Landrum, BSN
• Tommy Lanham
• Callie Mackenzie Lankford
• Kayla Lankheit, OD
• Kelli Lassiter, APRN-CNP

• Psychiatric/Mental Health Nurse Practitioner in Corbin, KY
• Providers in Corbin, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.