Mt Washington Pediatrics PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MT WASHINGTON PEDIATRICS PLLC

Practice address

138 Eastbrooke CT Unit 115
Mount Washington, KY 40047-5570

Phone

(502) 617-4068

NPI assigned

Dec 11, 2023

Organization subpart

No

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

Authorized official

Name

Alicia Anderson, APRNNPI 1639748569

Title

Owner

Phone

(502) 617-4068

Specialties & licenses 1

Addresses

Other names 1

• Mt Washington Pediatrics PLLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alicia Anderson, APRN

  • Family Nurse Practitioner
  • Mount Washington, KY
  • NPI 1639748569

  Family

  NPD Authorized official
• Cortney L Buse

  • Family Nurse Practitioner
  • Mount Washington, KY
  • NPI 1881564649

  Family

  NPD

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1013784982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 EASTBROOKE CT UNIT 115",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400475570",
            "telephone_number": "502-617-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 EASTBROOKE CT UNIT 115",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400475570",
            "telephone_number": "502-617-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT WASHINGTON PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-617-4068",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Washington Pediatrics PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mt Washington Pediatrics PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mooney Eyecare Centre, PLLC
• Matthew Lutes Mooney, O.D.
• Mount Washington Health Care LLC
• Mt Washington Family Dentistry Nita S Isgrigg DMD, PSC
• Mt Washington Family Practice PLLC
• Mt. Washington Fire Protection District EMS, Inc.
• Ryan Murphy, PHARM.D.
• Darren A. Neal, LPCC
• Ashley Needy
• Shannon Marie Newcomb, COTA/L

• All providers in Mount Washington, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.