Active NPI
Kimberley Ratliff
- Optician
- Lexington, KY
National Provider Identifier
1467917682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 111853
- Practice address
- 110 Conn Ter Ste 550
Lexington, KY 40508-3206 - Phone
- (859) 321-0408
- NPI assigned
- Feb 1, 2019
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 111853 | KY | Primary |
Addresses
Primary practice location
110 Conn Ter Ste 550
Lexington, KY 40508-3206
Mailing address
110 Conn Ter Ste 550
Lexington, KY 40508-3206
Phone (859) 321-0408
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111853 | KY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1467917682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CONN TER STE 550",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405083206",
"telephone_number": "859-321-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CONN TER STE 550",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405083206",
"telephone_number": "859-321-0408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATLIFF",
"first_name": "KIMBERLEY",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-01",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "KY",
"license": "111853",
"primary": true
}
],
"identifiers": [],
"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 Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.