Provider Demographics
NPI:1154370856
Name:LEMMONS, BARBARA J (ARNP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:LEMMONS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21890
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4115
Mailing Address - Country:US
Mailing Address - Phone:502-907-0356
Mailing Address - Fax:502-919-9780
Practice Address - Street 1:120 EXECUTIVE PARK
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4201
Practice Address - Country:US
Practice Address - Phone:502-855-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN710040710A363LA2200X
KY3004548363LA2200X
KY4548P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
000001004596OtherANTHEM ID
KY1233814OtherWELLCARE OF KY PROVIDER ID NUMBER
CS1809600114OtherCARESOURCE ID
7452751OtherAETNA PIN
PDZ000000060717OtherAETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
IN300006948Medicaid
KY78016219Medicaid
002626273OtherUNITED HEALTHCARE PROVIDER ID NUMBER
9168085OtherCIGNA PROVIDER ID NUMBER