LAKESIDE PRIMARY CARE, PSC
NPI 1043790983
Clinic/Center - Rural Health in Somerset, KY

Q: What is Lakeside Primary Care, Psc's NPI number?

The NPI number for Lakeside Primary Care, Psc is 1043790983. It was assigned to this organization in the NPPES registry on August 20, 2018.

Q: What is Lakeside Primary Care, Psc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since August 20, 2018CLIA 18D2156385 · Waiver

6470 S HWY 27, SOMERSET, KY 42501(606) 341-1339(606) 341-1340 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2026, May 28, 2025, Sep 17, 2024 and 5 more (8 updates tracked since 2018).

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About Lakeside Primary Care, Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE PRIMARY CARE, PSC (NPI 1043790983) is a healthcare organization registered as a rural health in Somerset, Kentucky and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through October 16, 2026 and lists Thuresa S Cash, Aprn/owner, as its authorized official.

NPPES Registry Identity

NPI1043790983

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameLAKESIDE PRIMARY CARE, PSC

Location Address6470 S HWY 27Somerset, KY 42501

Mailing AddressPo Box 85Burnside, KY 42519 · (606) 310-2640

Phone(606) 341-1339

Fax(606) 341-1340

Organization SubpartNo

Authorized OfficialThuresa S CashAprn/owner · (606) 341-1339

Enumeration DateAugust 20, 2018

Last NPPES UpdateApril 23, 20268 updates tracked since enumeration

NPPES CertifiedApril 23, 2026

✔ NPI 1043790983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

6470 S HWY 27, Somerset, KY 42501

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2156385

Lakeside Primary Care · Somerset, KY

Active · expires Oct 16, 2026

CLIA Number18D2156385

Laboratory TypeRural Health Clinic

Certificate Effective DateOctober 17, 2024

Certificate Expiration DateOctober 16, 2026

Laboratory DirectorDr. Dennis Ulrich

Laboratory Phone(606) 341-1339

Laboratory LocationLakeside Primary Care6470 S Hwy 27, Somerset, KY 42501

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by KirbyElizabeth ***** January 17, 2026

5/5

Misty Anderson is the Provider for my husband and myself. It’s a refreshing experience to find someone who actually cares about the patients, listens, and explains She’s very thorough. To date she has referred us to excellent Specialists for further evaluation and testing. We are extremely impressed. We have recommended her & Lakeside to others. The Staff is very accommodating.

Provider 5/5 Office Staff 5/5

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Primary Care, Psc's NPI number?

The NPI number for Lakeside Primary Care, Psc is 1043790983. It was assigned to this organization in the NPPES registry on August 20, 2018.

Where is Lakeside Primary Care, Psc located?

Lakeside Primary Care, Psc is located at 6470 S Hwy 27, Somerset, KY 42501. The listed phone number is (606) 341-1339.

What is Lakeside Primary Care, Psc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Lakeside Primary Care, Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2156385) is associated with this NPI, valid through October 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakeside Primary Care, Psc was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.