LUCAS TAYLOR EDELEN (NPI# 1093218828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093218828 |
| Entity Type | Individual |
| Full Name | LUCAS TAYLOR EDELEN |
| Practice Address |
2195 Harrodsburg Rd Ste 125 Lexington KY 40504-3543 |
| Practice Telephone | 8592574732 |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2020-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 S Preston St Rm 305, Louisville, KY 402021702 | 5028528696 |
| Street Address |
2195 HARRODSBURG RD STE 125 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578551875 | Demetrios T Herodotou | Internal Medicine | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3504 | 2005-10-11 |
| 1114575313 | Hayley Cole Meadows | Psychologist | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3504 | 2019-08-30 |
| 1548724511 | Christina Lee Jones | Specialist/Technologist | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3504 | 2019-01-24 |
| 1568942043 | Cody Antin Begley | Specialist/Technologist | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3504 | 2018-08-15 |
| 1801396916 | Natasha Gonzalez | Nurse Practitioner | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3504 | 2018-02-15 |
| 1568978005 | Heather Layne Norman-burgdolf | Health Educator | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3504 | 2017-12-20 |
| 1184145492 | Shana Christian Cunningham | Registered Nurse | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3504 | 2017-06-28 |
| 1982133773 | Yong Seon Girdler | Nurse Practitioner | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3504 | 2017-06-06 |
| 1336673102 | Robert Randal Geier | Internal Medicine | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3543 | 2017-04-18 |
| 1558893263 | Laura Lynne Hieronymus | Registered Nurse | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3504 | 2017-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117265 | Andrew Lanham | Student in an Organized Health Care Education/Training Program | 138 York St, Lexington, KY 40508-1879 | 2020-09-03 |
| 1780209429 | Hayley Elizabeth Webber | Student in an Organized Health Care Education/Training Program | 2151 Meeting St Apt 4210, Lexington, KY 40509-4646 | 2020-06-09 |
| 1568081974 | Nicole Marie Hall | Student in an Organized Health Care Education/Training Program | 374 Preston Ave, Lexington, KY 40502-1532 | 2020-04-15 |
| 1720607633 | Abigail Clark | Student in an Organized Health Care Education/Training Program | 800 Rose St Ste C-246, Lexington, KY 40536-0293 | 2020-04-10 |
| 1225657471 | Gabriella M Velonias | Student in an Organized Health Care Education/Training Program | 2261 Massachusetts Ave, Lexington, MA 02421-6712 | 2020-04-08 |
| 1811526866 | Evan Brady Lynch | Student in an Organized Health Care Education/Training Program | 740 South Limestone St Suite K454, Lexington, KY 40536-0293 | 2020-04-02 |
| 1982232237 | Brian Patrick Kinealy | Student in an Organized Health Care Education/Training Program | Uk Medical Center 800 Rose Street Room C-236, Lexington, KY 40536-0001 | 2020-03-31 |
| 1134757651 | Leonard Nsoyori Yenwongfai | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm Ms -117, Lexington, KY 40536-0293 | 2020-03-30 |
| 1427686054 | James Hallahan | Student in an Organized Health Care Education/Training Program | 800 Rose St Pavillion H, Lexington, KY 40536-0001 | 2020-03-30 |
| 1285262824 | Ivan Huynh | Student in an Organized Health Care Education/Training Program | 740 South Limestone A219, Lexington, KY 40536-0001 | 2020-03-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.