MEDICARE: BARBARA J LEMMONS ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	710040710A	IN
2	363LA2200X	Adult Health Nurse Practitioner	3004548	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000001004596	OTHER		ANTHEM ID
2	1233814	OTHER	KY	WELLCARE OF KY PROVIDER ID NUMBER
3	CS1809600114	OTHER		CARESOURCE ID
4	7452751	OTHER		AETNA PIN
5	PDZ000000060717	OTHER		AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	002626273	OTHER		UNITED HEALTHCARE PROVIDER ID NUMBER
9	9168085	OTHER		CIGNA PROVIDER ID NUMBER

General Provider Information

NPI Number	:	1154370856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA J LEMMONS ARNP

Provider Business Mailing Address
First Line	:	PO BOX 21890
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-4115
Country	:	US
Telephone Number	:	502-907-0356
Fax Number	:	502-919-9780

Provider Business Practice Location Address
First Line	:	120 EXECUTIVE PARK
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4201
Country	:	US
Telephone Number	:	502-855-7200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	06/09/2022

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