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LEBANON PEDIATRICS LLC
NPI 1063686509
Nurse Practitioner in Lebanon, KY

Active since April 16, 2008
311 W HIGH ST, LEBANON, KY 40033(270) 692-5811(270) 692-3863 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lebanon Pediatrics Llc NPPES

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

LEBANON PEDIATRICS LLC (NPI 1063686509) is a healthcare organization registered as a nurse practitioner in Lebanon, Kentucky and active in the NPI registry since April 2008. The organization lists Diane S Thomas, President, as its authorized official.

NPPES Registry Identity

NPI1063686509
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLEBANON PEDIATRICS LLC
Location Address311 W HIGH STLebanon, KY 40033-1427
Mailing Address311 W High StLebanon, KY 40033-1427 · (270) 692-5811 · Fax (270) 692-3863
Phone(270) 692-5811
Fax(270) 692-3863
Organization SubpartYesParent: Lebanon Pediatrics, Llc
Authorized OfficialDiane S ThomasPresident · (270) 692-5811
Enumeration DateApril 16, 2008
✔ NPI 1063686509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
311 W HIGH ST, Lebanon, KY 40033
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Other Identifiers 1

Medicaid78905148KY

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 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 Compliance 18D0987472

Lebanon Pediatrics · Lebanon, KY
Expired · Jul 31, 2026
CLIA Number18D0987472
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 2, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Diane Thomas
Laboratory Phone(270) 692-5811
Laboratory LocationLebanon Pediatrics311 W High Street, Lebanon, KY 40033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMMY L ABEL LCSW
Social Worker (Clinical)
311 W HIGH ST
LEBANON, KY 40033
Marion County (270) 692-2774
LEBANON PEDIATRICS, LLC
Pediatrics
311 W HIGH ST
LEBANON, KY 40033
Marion County (270) 692-5811
CHRISTA D WALTERS APRN
Nurse Practitioner (Family)
311 W HIGH ST
LEBANON, KY 40033
Marion County (270) 692-2774
MRS. DIANE SUE THOMAS M.D.
Pediatrics
311 W HIGH ST
LEBANON, KY 40033
Marion County (270) 692-5811

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 Lebanon Pediatrics LLC's NPI number?

The NPI number for Lebanon Pediatrics LLC is 1063686509. It was assigned to this organization in the NPPES registry on April 16, 2008.

Where is Lebanon Pediatrics LLC located?

Lebanon Pediatrics LLC is located at 311 W High St, Lebanon, KY 40033. The listed phone number is (270) 692-5811.

What is Lebanon Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Lebanon Pediatrics LLC was last updated on April 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.