Individual provider Active NPI

Lauren F Kostelnik, D.O.

  • Pediatrics Physician
  • Winchester, KY
National Provider Identifier
1073831558
Registry record updated Jul 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
03568 Issued in KY
Practice address
225 Hospital Dr
Ste 200C
Winchester, KY 40391-7676
Phone
(859) 737-6481
Fax
(859) 737-6640
NPI assigned
May 9, 2010
Last updated
Jul 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 03568 KY Primary

Addresses

Primary practice location

225 Hospital Dr
Ste 200C
Winchester, KY 40391-7676

Mailing address

225 Hospital Dr
Ste 200C
Winchester, KY 40391-7676
Phone (859) 737-6481

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130613000760 KY Practitioner - Pediatric Medicine 3870732332 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
03568KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Regional Physician Practices, LLC Pediatrics CurrentSince Jul 1, 2013 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Jul 1, 2013 Accepting new patients
Premier Pediatrics, PLLC Pediatrics Current Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients
Kentucky Hospital, LLC Past Accepting new patients

Locations

225 Hospital Dr
Winchester, KY 40391
Phone (859) 737-8528

225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480

225 Hospital Dr
Ste 200C
Winchester, KY 40391
Phone (859) 737-6480

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: clrk_-_lauren_kostelnik_-_phys_peds@yourcarecommunity.org
  • Direct secure messaging: drlkostelnik@childfirsturgentcare.kareodirect.com
  • Direct secure messaging: lauren.kostelnik.1@19475.direct.athenahealth.com

Organizations & group practices 5

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": "1273363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658016000000",
    "number": "1073831558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DR",
            "address_2": "STE 200C",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917676",
            "telephone_number": "859-737-6481",
            "fax_number": "859-737-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DR",
            "address_2": "STE 200C",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917676",
            "telephone_number": "859-737-6481",
            "fax_number": "859-737-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTELNIK",
        "first_name": "LAUREN",
        "middle_name": "F",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-09",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "03568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.