Active NPI
Nikita Sutton, APRN
- Family Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3009208
- Practice address
- 1401 Harrodsburg Rd Ste A530
Lexington, KY 40504-1717 - Phone
- (024) 068-1335
- Fax
- (833) 471-6018
- NPI assigned
- Feb 21, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1120689 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3009208 | KY | Primary |
Addresses
Primary practice location
1401 Harrodsburg Rd Ste A530
Lexington, KY 40504-1717
Mailing address
1401 Harrodsburg Rd Ste A530
Lexington, KY 40504-1717
Phone (024) 068-1335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100384030 | Medicaid | KY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151020000113 | KY | Practitioner - Nurse Practitioner | 8224347976 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1120689 | KY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axial Clinic in PC | Current | Accepting new patients | |
| Cleanslate Medical Group of Kentucky PLLC | Current | Accepting new patients | |
| Axial Clinic in PC | Current | Accepting new patients |
Locations
1500 Leestown Rd
Ste 110
Lexington, KY 40511
Phone (502) 657-2701
1401 Harrodsburg Rd
Ste A530
Lexington, KY 40504
Phone (502) 406-8133
210 E Gray St
Ste 803
Louisville, KY 40202
Phone (502) 582-6900
1169 Eastern Pkwy
Ste 2313
Louisville, KY 40217
Phone (502) 309-9800
Interoperability endpoints
- nikita.a.sutton.2@24435.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction Medicine (Internal Medicine) Physician
- Louisville, KY
- NPI 1538600630
KY
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1427790914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1588056089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 HARRODSBURG RD STE A530",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405041717",
"telephone_number": "024-068-1335",
"fax_number": "833-471-6018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 HARRODSBURG RD STE A530",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405041717",
"telephone_number": "024-068-1335",
"fax_number": "833-471-6018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "NIKITA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-21",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1120689",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3009208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100384030",
"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 Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.