Individual provider Active NPI

Nikita Sutton, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1588056089
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009208 Issued in KY
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

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100384030MedicaidKY

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
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

LicenseStateTypeSpecialty
1120689KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Axial Clinic in PC CurrentSince Mar 16, 2026 Accepting new patients
Cleanslate Medical Group of Kentucky PLLC CurrentSince Dec 1, 2020 Accepting new patients
Axial Clinic in PC CurrentSince Apr 8, 2026 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.