JOYCE DENISE THACKER APRN-AG NPI 1649654880

NPI Information

  • NPI: 1649654880
  • Provider Name: JOYCE DENISE THACKER, APRN-AG
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 989 GOVERNORS LN STE 180
    LEXINGTON, KY
    ZIP 40513
  • Phone: (859) 274-2296

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NPI Details

Joyce Denise Thacker, APRN-AG is an adult health nurse practitioner in Lexington, KY. Joyce Denise Thacker, APRN-AG NPI is 1649654880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

989 GOVERNORS LN STE 180
LEXINGTON, KY
ZIP 40513-174
Phone: (859) 274-2296

The NPI 1649654880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2015 and was last updated on 9/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WG0600XRegistered NurseGerontology3009100KENTUCKYNo
2363LG0600XNurse PractitionerGerontology3009100KENTUCKYNo
3363LA2200XNurse PractitionerAdult Health3009100KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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