Active NPI
Expedition Mental Health
- Child & Adolescent Psychiatry Physician
- Lexington, KY
National Provider Identifier
1639932981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- EXPEDITION MENTAL HEALTH
- Practice address
- 535 Wellington Way Ste 330
Lexington, KY 40503-1331 - Phone
- (859) 765-6573
- NPI assigned
- Jan 31, 2024
- Last updated
- May 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristin Dawson, MD
- Title
- Owner
- Phone
- (859) 765-6573
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | NU | Primary |
Addresses
Primary practice location
535 Wellington Way Ste 330
Lexington, KY 40503-1331
Mailing address
535 Wellington Way Ste 330
Lexington, KY 40503-1331
Phone (859) 765-6573
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychiatry Physician
- Lexington, KY
- NPI 1316192917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715126400000",
"number": "1639932981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 WELLINGTON WAY STE 330",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031331",
"telephone_number": "859-765-6573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 WELLINGTON WAY STE 330",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031331",
"telephone_number": "859-765-6573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPEDITION MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-31",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A",
"authorized_official_last_name": "DAWSON",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-765-6573",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NU",
"license": null,
"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 May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.