Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lora Mutiso, APRN

Individual provider Nurse Practitioner · NPI 1689795536

Lora Mutiso, APRN is a Nurse Practitioner in Lexington, Kentucky. Qualified in 2004, 22 years ago. Practices with Bluegrass Primary Health Care Center, Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
22
Licensed in
KY
In the registry since
2007
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1306 Versailles Rd Ste 120
Lexington, KY 40504-1796
Phone: (859) 259-2635
Fax: (859) 254-7874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 3004380 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 4380P (KY)

Record details

NPI number1689795536
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESApril 23, 2020
Certification dateApril 23, 2020
Mailing address1306 Versailles Rd, Suite 120, Lexington, KY 40504-1796

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Bluegrass Primary Health Care Center, Inc. — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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