LORA MUTISO


Address: 1306 Versailles Rd, Suite 120, Lexington, KY 40504-1796
Phone: 8592592635

LORA MUTISO (NPI# 1689795536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689795536
Entity Type Individual
Full Name LORA MUTISO
Credential APRN
Practice Address 1306 Versailles Rd
Suite 120
Lexington
KY 40504-1796
Practice Telephone 8592592635
Practice Fax Number 8592547874
Mailing Telephone 8592592635
Mailing Fax Number 8592547874
Enumeration Date 2007-04-02
Last Update Date 2020-04-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 4380P KY Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
3004380 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100384290 05

Office Location

Street Address 1306 VERSAILLES RD
SUITE 120
City LEXINGTON
State KY
Zip Code 40504-1796

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164460051 Eastern Kentucky University Clinic/Center 1306 Versailles Rd, Suite 120, Lexington, KY 40504-1117 2006-06-03
1467893081 Julie Ann Clarke Social Worker 1306 Versailles Rd, Ste 120, Lexington, KY 40504-1796 2013-07-11
1437450269 Elizabeth Frances Epperson Social Worker 1306 Versailles Rd, Ste 120, Lexington, KY 40504-1796 2010-11-10
1457582017 Iris E Draughn Nurse Practitioner 1306 Versailles Rd, Suite 120, Lexington, KY 40504-1796 2009-07-30
1831329945 Lisa J Hernandez Social Worker 1306 Versailles Rd, Ste 120, Lexington, KY 40504-1796 2009-07-23
1891931523 Andrea Ellen Zimmermann Nurse Practitioner 1306 Versailles Rd, Ste 120, Lexington, KY 40504-1796 2008-12-30
1336295369 Christopher G Westerman Counselor 1306 Versailles Rd, Lexington, KY 40504-1796 2007-01-25
1518973064 Joyce Ann Allen Nurse Practitioner 1306 Versailles Rd, Ste 120, Lexington, KY 40504-1796 2006-08-01
1659393700 Stanley W Sizemore Family Medicine 1306 Versailles Rd, Ste 120, Lexington, KY 40504-1796 2006-07-24
1922048503 Alan Stevens Wrightson Jr. Family Medicine 1306 Versailles Rd, Ste 120, Lexington, KY 40504-1796 2006-06-08
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235749581 Melissa K Young-flynn Nurse Practitioner 713 Millpond Rd, Lexington, KY 40514-1570 2020-08-02
1821612615 Hannah Olivia Robidoux Nurse Practitioner 109 Montelena Dr, Lexington, SC 29072-6911 2020-06-08
1831722115 Free To Be Mental Health Services, LLC Nurse Practitioner 2035 Regency Rd Ste 8, Lexington, KY 40503-2333 2020-02-15
1265075238 Colleen Turner Nurse Practitioner 3150 Custer Dr Ste 201, Lexington, KY 40517-4010 2019-10-23
1124672126 Sheila Young Steinbrenner Nurse Practitioner 238 Rosemont Gdn, Lexington, KY 40503-1845 2019-07-29
1194207910 Ljks Nurse Practitioner 1301 Winchester Rd Ste 147, Lexington, KY 40505-4179 2018-08-29
1881172823 Kayla Kouns Nurse Practitioner 1030 Monarch Street Suite 100, Lexington, KY 40513-1820 2018-08-01
1033601992 Davika Mattox Pmhnp Recovery and Wellness Behavioral Health Nurse Practitioner 3208 Polo Club Blvd, Lexington, KY 40509-8454 2018-06-05
1265935159 Holly Melissa Lewis Nurse Practitioner 4766 Sunset Blvd Ste A, Lexington, SC 29072-9252 2018-03-16
1225546690 Latoya Bo'nee Lee Nurse Practitioner 161 Prosperous Pl Ste 100, Lexington, KY 40509-1898 2018-01-18
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Competitor

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City LEXINGTON
Zip Code 40504

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Dataset Information

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.

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