Active NPI
Stephen Daniel Cornett, MS LPP
- Rehabilitation Psychologist
- Lexington, KY
National Provider Identifier
1225500085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 114257
- Practice address
- 448 Lewis Hargett Cir Ste 100
Lexington, KY 40503-3900 - Phone
- (859) 313-5250
- NPI assigned
- Dec 18, 2018
- Last updated
- Dec 18, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | 114257 | KY | Primary |
Addresses
Primary practice location
448 Lewis Hargett Cir Ste 100
Lexington, KY 40503-3900
Mailing address
448 Lewis Hargett Cir Ste 100
Lexington, KY 40503-3900
Phone (859) 313-5250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114257 | Other | KY | KENTUCKY BOARD OF EXAMINERS OF PSYCHOLOGY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114257 | KY | MD | Rehabilitation Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1225500085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 LEWIS HARGETT CIR STE 100",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405033900",
"telephone_number": "859-313-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 LEWIS HARGETT CIR STE 100",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405033900",
"telephone_number": "859-313-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNETT",
"first_name": "STEPHEN",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "MS LPP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-18",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "KY",
"license": "114257",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF EXAMINERS OF PSYCHOLOGY",
"identifier": "114257",
"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 Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.