Active NPI
Brittany M Lisby, APRN
- Family Nurse Practitioner
- Lawrenceburg, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3012874
- Practice address
- 512 Saffell St
Lawrenceburg, KY 40342-1253 - Phone
- (502) 839-1231
- Fax
- (502) 353-4218
- NPI assigned
- Nov 20, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012874 | KY | Primary |
Addresses
Primary practice location
512 Saffell St
Lawrenceburg, KY 40342-1253
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other practice location 1
7926 Preston Hwy Ste 106
Louisville, KY 40219-3848
Phone (502) 964-4357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100568660 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | blisby166625@direct.nortonhealthcare.org |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190122001455 | KY | Practitioner - Nurse Practitioner | 1355688839 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Family | Current | Accepting new patients |
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Bardstown Primary Care, PLLC | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Brock Medical, LLC | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Bardstown Primary Care, PLLC | Family | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Past | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
201 S 5th St
Bardstown, KY 40004
Phone (502) 348-5968
96 Future Dr
Corbin, KY 40701
301 Versailles Rd
Frankfort, KY 40601
Phone (502) 352-2310
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950
727 Hospital Dr
Shelbyville, KY 40065
Phone (502) 633-2345
60 Mack Walters Rd
Shelbyville, KY 40065
Phone (502) 633-4622
Interoperability endpoints
- blisby41726@uoflhealth-dm.org
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
Family, KY
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
KY
-
- Rural Health Clinic/Center
- Hopkinsville, KY
- NPI 1174091763
-
- Rural Health Clinic/Center
- Springfield, KY
- NPI 1639654809
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Rural Health Clinic/Center
- Corbin, KY
- NPI 1669256913
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Family Medicine Physician
- Louisville, KY
- NPI 1386910917
-
- Urology Physician
- Louisville, KY
- NPI 1619242757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1982173910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1080",
"city": "BURKESVILLE",
"state": "KY",
"postal_code": "427171080",
"telephone_number": "270-858-6655",
"fax_number": "270-858-4607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 SAFFELL ST",
"city": "LAWRENCEBURG",
"state": "KY",
"postal_code": "403421253",
"telephone_number": "502-839-1231",
"fax_number": "502-353-4218"
}
],
"practiceLocations": [
{
"address_1": "7926 Preston Hwy Ste 106",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402193848",
"country_code": "US",
"telephone_number": "502-964-4357",
"fax_number": "502-966-5948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LISBY",
"first_name": "BRITTANY",
"middle_name": "M",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3012874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100568660",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "blisby166625@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "7926 Preston Hwy Ste 106",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402193848",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lawrenceburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.