Individual provider Active NPI

Stefanie Kaye Spalding, MSN, APRN, NP-C

  • Nurse Practitioner
  • Lebanon, KY
National Provider Identifier
1376015602
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3012969 Issued in KY
Practice address
320 N Loretto Rd
Lebanon, KY 40033-1300
Phone
(270) 692-5187
Fax
(270) 699-4621
NPI assigned
Dec 27, 2018
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3012969 KY Primary
Primary Care Nurse Practitioner 363LP2300X 3012969 KY

Addresses

Primary practice location

320 N Loretto Rd
Lebanon, KY 40033-1300

Mailing address

320 N Loretto Rd
Lebanon, KY 40033-1300
Phone (270) 692-5187

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
I20190221001487 KY Practitioner - Nurse Practitioner 3173861960 Reassigns benefits to 3 organizations

Care Compare profile

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

Practice addresses (Care Compare)

1085 Stewarts Creek Rd
Lebanon, KY 40033-9353
Phone (270) 402-4570

429 Walnut St
Lebanon, KY 40033-1346
Phone (270) 699-4602

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spring View Physician Practices, LLC Family Medicine CurrentSince Jan 15, 2019 Accepting new patients
Spring View Physician Practices LLC CurrentSince Jan 15, 2019 Accepting new patients
Woundrx 2U LLC Primary Care CurrentSince Jan 24, 2023 Accepting new patients
Spring View Hospital LLC CurrentSince Feb 1, 2019 Accepting new patients
Spring View Hospital LLC Current Accepting new patients
Spring View Hospital, LLC Family Medicine Past Accepting new patients

Locations

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

330 N Loretto Rd
Lebanon, KY 40033
Phone (270) 699-2229

420 N Loretto Rd
Ste 200
Lebanon, KY 40033
Phone (270) 321-4480

420 N Loretto Rd
Ste 400
Lebanon, KY 40033
Phone (270) 692-5271

420 N Loretto Rd
Ste 500
Lebanon, KY 40033
Phone (270) 692-5272

420 N Loretto Rd
Ste 600
Lebanon, KY 40033
Phone (270) 692-5139

429 W Walnut St
Lebanon, KY 40033
Phone (270) 295-1010

17 Lincoln Rdg
Springfield, KY 40069
Phone (270) 692-5272

79 Bobolink Dr
Springfield, KY 40069
Phone (859) 336-0771

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1376015602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N LORETTO RD",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331300",
            "telephone_number": "270-692-5187",
            "fax_number": "270-699-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N LORETTO RD",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331300",
            "telephone_number": "270-692-5187",
            "fax_number": "270-699-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPALDING",
        "first_name": "STEFANIE",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012969",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3012969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, KY

Sources for this page

Verify at the official NPI Registry.