Active NPI
Keriana Grace Sachtleben, NP STUDENT
- Family Medicine Physician
- Versailles, KY
National Provider Identifier
1669339248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 001312689
- Practice address
- 2050 Lexington Rd
Versailles, KY 40383-1738 - Phone
- (859) 251-4700
- NPI assigned
- Jan 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 001312689 | VA | Primary |
Addresses
Primary practice location
2050 Lexington Rd
Versailles, KY 40383-1738
Mailing address
244 Washington St
Locust Grove, VA 22508-5137
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001312689 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1669339248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 WASHINGTON ST",
"city": "LOCUST GROVE",
"state": "VA",
"postal_code": "225085137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 LEXINGTON RD",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403831738",
"telephone_number": "859-251-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACHTLEBEN",
"first_name": "KERIANA",
"middle_name": "GRACE",
"credential": "NP STUDENT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-06",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "VA",
"license": "001312689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Versailles, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.