| Brende L Lott, APRN | |
| 
					105 Greenbriar Dr Ste B, Campbellsville, KY 42718-9617  | |
| (270) 465-3568 | |
| (270) 789-6119 | 
| Full Name | Brende L Lott | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 105 Greenbriar Dr Ste B, Campbellsville, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437419009 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 3007440 (Kentucky) | Secondary | 
| 367A00000X | Advanced Practice Midwife | 3007440 (Kentucky) | Primary | 
| Entity Name | Taylor Regional Medical Group, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174697601 PECOS PAC ID: 4880616622 Enrollment ID: O20051221000527  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brende L Lott, APRN 1698 Old Lebanon Rd, Campbellsville, KY 42718-3319 Ph: (270) 789-6087  | Brende L Lott, APRN 105 Greenbriar Dr Ste B, Campbellsville, KY 42718-9617 Ph: (270) 465-3568  | 
Carrie Fry,  Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 105 Greenbriar Dr Ste B, Campbellsville, KY 42718 Phone: 270-465-3568 Fax: 270-789-6119  | |
Karen Wolfe, ARNP, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1698 Old Lebanon Rd, Suite 2b, Campbellsville, KY 42718 Phone: 270-465-3561 Fax: 270-789-6119  | |
Sharon N Rose, CNM, ARNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1698 Old Lebanon Rd, Suite 2b, Campbellsville, KY 42718 Phone: 270-465-3568  |