Stacey Lynn Smallwood, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3004185 Issued in KY

Practice address

2700 Old Rosebud Rd Ste 250
Lexington, KY 40509-8625

Phone

(859) 264-1141

Fax

(859) 264-1963

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Stacey Lynn Phillips Former name

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lexington Podiatry PSCGroup PAC ID 9436216660, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.2 of 100Reported as group

Quality

100

Promoting interoperability

94

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3044/brand/1/csg/1/fhir/r4

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.

• Lexington Podiatry PSC

  dba Lexington Podiatry

  • Podiatrist
  • Lexington, KY
  • NPI 1033358726

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Lexington Podiatry PSC

  • Durable Medical Equipment & Medical Supplies
  • Lexington, KY
  • NPI 1780341800
  NPD
• Family Practice Clinic of Booneville, Inc.

  • Rural Health Clinic/Center
  • Booneville, KY
  • NPI 1326152109
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1184738593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 OLD ROSEBUD RD STE 250",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098625",
            "telephone_number": "859-264-1141",
            "fax_number": "859-264-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 OLD ROSEBUD RD STE 250",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098625",
            "telephone_number": "859-264-1141",
            "fax_number": "859-264-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3004185",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78012556",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "PHILLIPS",
            "middle_name": "LYNN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Briana Haynes Small, CSW
• Shanta Renae Small
• Abbra Smallwood, LPCC
• Liberty Faith Smallwood
• Melissa Hornsby Smallwood, APRN
• Tammy L Smallwood, LCSW
• Smart Dental & Hygiene Express
• Delnott Carobea Smart Leblanc
• Keaton Smetana, PHARMD
• Michele Ritchey Smiley, PT

• Family Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.