Individual provider Active NPI

Beth Enders Sturgill, APRN, PNP-BC

  • Pediatric Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1063650281
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3002492 Issued in KY
Practice address
3050 Harrodsburg Rd Ste 100
Lexington, KY 40503-2714
Phone
(859) 277-6102
Fax
(859) 977-3033
NPI assigned
Jan 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3002492 KY
Pediatric Nurse Practitioner 363LP0200X 3002492 KY Primary

Addresses

Primary practice location

3050 Harrodsburg Rd Ste 100
Lexington, KY 40503-2714

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200

Other identifiers 1

IdentifierTypeStateIssuer
78002383MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic, PSC CurrentSince Feb 6, 2024 Accepting new patients
New Lexington Clinic PSC CurrentSince Feb 6, 2024 Accepting new patients

Locations

171 N Eagle Creek Dr
Ste 100
Lexington, KY 40509
Phone (859) 233-1490

3050 Harrodsburg Rd
Ste 100
Lexington, KY 40503
Phone (859) 277-6102

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

858 Eastern Byp
Richmond, KY 40475
Phone (859) 626-0072

Interoperability endpoints

  • Direct secure messaging: beth.sturgill.1@13059.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1063650281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 HARRODSBURG RD STE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032714",
            "telephone_number": "859-277-6102",
            "fax_number": "859-977-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURGILL",
        "first_name": "BETH",
        "middle_name": "ENDERS",
        "name_prefix": "Mrs.",
        "credential": "APRN, PNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3002492",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3002492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78002383",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.