Active NPI
Sonia N Crump, PA-C
- Surgical Physician Assistant
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA041
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7101086820 | Medicaid | KY |
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentuckyone Health Medical Group, Inc. | Current | Accepting new patients | |
| Kentuckyone Health Medical Group, Inc. | Current | 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
- 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.
-
- Family Medicine Physician
- Lexington, KY
- NPI 1104875970
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1700803681
-
- General Practice Physician
- Lexington, KY
- NPI 1902238694
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.