PATRIOT ONE PRIMARY CARE PSC – NPI #1114660735
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

PATRIOT ONE PRIMARY CARE PSC is a provider located in LEXINGTON, KY. NPPES has assigned the NPI number 1114660735 to PATRIOT ONE PRIMARY CARE PSC on April 20, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 4 years ago on Aug 02, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PATRIOT ONE PRIMARY CARE PSC below.

NPI Profile for
PATRIOT ONE PRIMARY CARE PSC

NPI Number
1114660735
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PATRIOT ONE PRIMARY CARE PSC
Primary location
989 GOVERNORS LN STE 140
LEXINGTON, KY 40513-1174
Phone: (859) 447-8014 Fax:
Mailing address
989 GOVERNORS LN STE 220
LEXINGTON, KY 40513-1175
Phone: (859) 447-8014 Fax:
Organization Subpart
No
Authorized Official
JANINE LIPPERT
NURSE PRACTITIONER
Phone: (859) 433-4661
Updated
Certification Date
Aug 02, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PATRIOT ONE PRIMARY CARE PSC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY7100137000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.