Individual provider Active NPI

Kathryn A Spencer, PA-C

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1013285691
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1401 Harrodsburg Rd Ste C405
Lexington, KY 40504-1748
Phone
(859) 276-4429
Fax
(859) 313-1095
NPI assigned
Dec 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1401 Harrodsburg Rd Ste C405
Lexington, KY 40504-1748

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other practice location 1

1218 S Broadway
Ste 310
Lexington, KY 40504-2759
Phone (859) 219-0542 ext. 245

Other identifiers 1

IdentifierTypeStateIssuer
7100197610MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000104 KY Practitioner - Physician Assistant 0042478901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Kentucky Radiology PLLCGroup PAC ID 8921906983, 54 clinicians

Practice addresses (Care Compare)

1 Saint Joseph Dr
Lexington, KY 40504-3742
Phone (859) 313-1000

1401 Harrodsburg Rd
Suite C405
Lexington, KY 40504-1748
Phone (859) 276-4429

360 Amsden Ave
Versailles, KY 40383-1851
Phone (606) 873-3111

801 Eastern Byp
Richmond, KY 40475-2751
Phone (859) 625-3139

Hospital & facility affiliations

  • Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TC073KYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Physician Assistant CurrentSince Dec 1, 2025 Accepting new patients
Kentuckyone Health Medical Group, Inc. Physician Assistant CurrentSince Dec 1, 2025 Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

160 N Eagle Creek Dr
Ste 101
Lexington, KY 40509
Phone (859) 335-4613

1401 Harrodsburg Rd
Ste C405
Lexington, KY 40504
Phone (859) 277-2280

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

225 Falcon Dr
Mt Sterling, KY 40353
Phone (859) 497-5000

1250 Keene Rd
Nicholasville, KY 40356
Phone (859) 881-4288

Interoperability endpoints

  • Direct secure messaging: kspencer288711@direct.stlukeshealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1013285691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "859-276-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD STE C405",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041748",
            "telephone_number": "859-276-4429",
            "fax_number": "859-313-1095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1218 S Broadway",
            "address_2": "Ste 310",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042759",
            "country_code": "US",
            "telephone_number": "859-219-0542 x245",
            "fax_number": "859-219-9433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100197610",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.