Individual provider Active NPI

Stephanie Somerville

  • Psychiatric/Mental Health Nurse Practitioner
  • London, KY
National Provider Identifier
1073211256
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3019064 Issued in KY
Practice address
1370 S Laurel Rd Ste 1
London, KY 40744-8304
Phone
(606) 770-5053
Fax
(606) 770-5054
NPI assigned
Feb 17, 2023
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3019064 KY Primary

Addresses

Primary practice location

1370 S Laurel Rd Ste 1
London, KY 40744-8304

Mailing address

1370 S Laurel Rd Ste 1
London, KY 40744-8304
Phone (606) 770-5053

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
I20240125003961 KY Practitioner - Nurse Practitioner 6002269016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Therapeutic Solutions of Corbin LLCGroup PAC ID 6608152384, 8 clinicians

Practice addresses (Care Compare)

415 S Main St
Corbin, KY 40701-1459
Phone (606) 261-7555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Solutions of Corbin, LLC CurrentSince Oct 1, 2024 Accepting new patients
Therapeutic Solutions Past Accepting new patients

Locations

415 S Main St
Corbin, KY 40701
Phone (606) 215-3832

1380 Highway 192 E
Ste B
London, KY 40741

73 Thompson Poynter Rd
Ste A
London, KY 40741
Phone (606) 770-5170

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1073211256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 S LAUREL RD STE 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448304",
            "telephone_number": "606-770-5053",
            "fax_number": "606-770-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 S LAUREL RD STE 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448304",
            "telephone_number": "606-770-5053",
            "fax_number": "606-770-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERVILLE",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3019064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.