Individual provider Active NPI

Lacy Lee Wethington, APRN

  • Family Nurse Practitioner
  • Columbia, KY
National Provider Identifier
1992564843
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4017249 Issued in KY
Practice address
2679 Jones Chapel Rd
Columbia, KY 42728-8587
Phone
(606) 706-1400
NPI assigned
Mar 14, 2024
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 4017249 KY Primary

Addresses

Primary practice location

2679 Jones Chapel Rd
Columbia, KY 42728-8587

Mailing address

2679 Jones Chapel Rd
Columbia, KY 42728-8587
Phone (606) 706-1400

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
I20251230002560 KY Practitioner - Nurse Practitioner 0749776623 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Vital Path Care PCGroup PAC ID 8022532613, 52 clinicians
Champion Physical Therapy Kentucky, LLCGroup PAC ID 3476818519, shared by 3 NPIs, 43 clinicians

Practice addresses (Care Compare)

117 Tradepark Dr
Suite B
Somerset, KY 42503-3428
Phone (606) 679-2773

2835 S Hwy 27
Suite 286B
Somerset, KY 42501-3062
Phone (606) 302-2831

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4017249KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Jan 5, 2026 Accepting new patients
Upperline Healthcare, PC CurrentSince Jan 5, 2026 Accepting new patients
Vital Path Care PC CurrentSince Jan 5, 2026 Accepting new patients

Locations

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

117 Tradepark Dr
Ste B
Somerset, KY 42503
Phone (606) 679-2773

Organizations & group practices 6

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": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1992564843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2679 JONES CHAPEL RD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427288587",
            "telephone_number": "606-706-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2679 JONES CHAPEL RD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427288587",
            "telephone_number": "606-706-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHINGTON",
        "first_name": "LACY",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4017249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, KY

Sources for this page

Verify at the official NPI Registry.