Individual provider Active NPI

Sonia N Crump, PA-C

  • Surgical Physician Assistant
  • Lexington, KY
National Provider Identifier
1194807149
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA041 Issued in KY
Practice address
170 N Eagle Creek Dr Ste 104
Lexington, KY 40509-9087
Phone
(859) 967-5848
Fax
(859) 967-5473
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA041 KY Primary

Addresses

Primary practice location

170 N Eagle Creek Dr Ste 104
Lexington, KY 40509-9087

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other practice location 1

160 N Eagle Creek Dr Ste 400
Lexington, KY 40509-2124
Phone (859) 258-5220

Other practice location 2

100 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 258-5285

Other identifiers 1

IdentifierTypeStateIssuer
7101086820MedicaidKY

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
I20250917001165 KY Practitioner - Physician Assistant 5294239950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1221 S Broadway
Lexington, KY 40504-2701

PO Box
Suite 936
London, KY 40743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. CurrentSince Aug 31, 2025 Accepting new patients
Kentuckyone Health Medical Group, Inc. CurrentSince Aug 31, 2025 Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

160 N Eagle Creek Dr
Ste 400
Lexington, KY 40509
Phone (859) 258-5220

170 N Eagle Creek Dr
Ste 101
Lexington, KY 40509
Phone (859) 277-5736

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

170 N Eagle Creek Dr
Ste 104
Lexington, KY 40509
Phone (859) 629-7100

Interoperability endpoints

  • Direct secure messaging: scrump273893@direct.stlukeshealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1194807149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "859-967-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N EAGLE CREEK DR STE 104",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405099087",
            "telephone_number": "859-967-5848",
            "fax_number": "859-967-5473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 N Eagle Creek Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092124",
            "country_code": "US",
            "telephone_number": "859-258-5220",
            "fax_number": "859-258-5405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Eagle Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091805",
            "country_code": "US",
            "telephone_number": "859-258-5285",
            "fax_number": "859-258-5295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUMP",
        "first_name": "SONIA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101086820",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.