Organization Active NPI

Creationz by Phoenix LLC

  • Meals Provider
  • Lexington, KY
National Provider Identifier
1083538490
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
CREATIONZ BY PHOENIX LLC
Practice address
2366 Allen Dr Ste B
Lexington, KY 40505-1956
Phone
(859) 519-9336
NPI assigned
Aug 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Ms. Sha'Nae Latisha Hammond, CNA
Title
Owner
Phone
(859) 519-9336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X Primary

Addresses

Primary practice location

2366 Allen Dr Ste B
Lexington, KY 40505-1956

Mailing address

212 N 2ND St Ste 100
Richmond, KY 40475-1408
Phone (859) 519-9336

National Provider Directory

National Provider Directory
Tax ID family
Creationz by Phoenix LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1083538490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N 2ND ST STE 100",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751408",
            "telephone_number": "859-519-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 ALLEN DR STE B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405051956",
            "telephone_number": "859-519-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIONZ BY PHOENIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "SHA'NAE",
        "authorized_official_middle_name": "LATISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-519-9336",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.