St Luke Pediatric Center
Organization Active NPI Pediatric Nurse Practitioner · Bellevue, KY
NPI 1104087196 · NPPES record last updated Jun 23, 2008
Key facts
- NPI
- 1104087196
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- Legal business name
- ST LUKE PEDIATRIC CENTER
- Practice address
- 103 Landmark Dr Ste 360
Bellevue, KY 41073-1354 - Phone
- (859) 261-3700
- Fax
- (859) 261-9788
- NPI assigned
- Jun 23, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Stephanie Sanchez, CPC
- Title
- Coder
- Phone
- (859) 261-3700
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- St Luke Hospitals Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner |
363LP0200X | Yes |
Addresses
Primary practice location
103 Landmark Dr Ste 360
Bellevue, KY 41073-1354
Mailing address
103 Landmark Dr Ste 360
Bellevue, KY 41073-1354
Phone (859) 261-3700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65915621 | Medicaid | KY | |
| 78901709 | Other | KY | MEDICAID NP GROUP |
Other providers in Bellevue, KY
- Marilyn Schleyer
- Debra Schulte
- Michael P Schulte
- Robert Sopko
- St Luke Hospital Inc
- Erin Steigerwald
- Maximilian Martin Stepaniak
- Mindy Sydnor
- Taylor Thomas
- Michael S. Thompson
All providers in Bellevue, KY · Pediatric Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.