Individual provider Active NPI

Nathan Bartley, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1306329388
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3012609 Issued in KY
Practice address
2387 Professional Heights Dr Ste 150
Lexington, KY 40503-3004
Phone
(859) 948-3459
NPI assigned
Sep 14, 2018
Last updated
May 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3012609 KY Primary

Addresses

Primary practice location

2387 Professional Heights Dr Ste 150
Lexington, KY 40503-3004

Mailing address

2387 Professional Heights Dr Ste 150
Lexington, KY 40503-3004
Phone (859) 948-3459

Other identifiers 1

IdentifierTypeStateIssuer
7100569200MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181129001033 KY Practitioner - Nurse Practitioner 7618211855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3050 Rio Dosa Dr
Lexington, KY 40509-1540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ridge Outpatient Counseling, LLC Psychiatric/Mental Health CurrentSince Oct 22, 2018 Accepting new patients
Dr. Gordon Vanotteren Past Accepting new patients
Southland Psychiatry Psychiatric/Mental Health Past Accepting new patients
Southland Child, Adult, and Family Counseling Past Accepting new patients

Locations

3050 Rio Dosa Dr
Lexington, KY 40509
Phone (859) 268-6475

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1306329388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 PROFESSIONAL HEIGHTS DR STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033004",
            "telephone_number": "859-948-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 PROFESSIONAL HEIGHTS DR STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033004",
            "telephone_number": "859-948-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLEY",
        "first_name": "NATHAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-14",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3012609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100569200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.