NPIMap

Organization Active NPI

New Lexington Clinic, PSC

  • Registered Dietitian
  • Lexington, KY
National Provider Identifier
1447803754
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NEW LEXINGTON CLINIC, PSC
Practice address
1221 S Broadway
Lexington, KY 40504-2701
Phone
(859) 258-4000
NPI assigned
Jul 17, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW LEXINGTON CLINIC, PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Dee Gaines
Title
Asst Director
Phone
(859) 258-6091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

1221 S Broadway
Lexington, KY 40504-2701

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

Other identifiers 1

IdentifierTypeStateIssuer
0169OtherKYCMS GROUP

Other names 1

  • Lexington Clinic Care Management Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WWW.LEXINGTOCLINIC.COM Other New Lexington Clinic, PSC

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Associates of18 organizations share this tax ID, including this one
Part of
Pediatric Associates of

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1447803754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEXINGTON CLINIC, PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW LEXINGTON CLINIC, PSC",
        "enumeration_date": "2019-07-17",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "ASST DIRECTOR",
        "authorized_official_telephone_number": "859-258-6091"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS GROUP",
            "identifier": "0169",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.LEXINGTOCLINIC.COM",
            "affiliation": "Y",
            "endpointDescription": "WEBSITE",
            "affiliationName": "New Lexington Clinic, PSC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Tracking Diabetes Educators",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1221 S Broadway",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405042701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lexington Clinic Care Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.