Stephanie Lynn Herder, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

37146 Issued in KY

Practice address

1721 Nicholasville Rd
Lexington, KY 40503-1428

Phone

(859) 252-6500

Fax

(859) 514-0145

NPI assigned

Sep 20, 2006

Last updated

Apr 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1669570305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 NICHOLASVILLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031428",
            "telephone_number": "859-252-6500",
            "fax_number": "859-514-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 NICHOLASVILLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031428",
            "telephone_number": "859-252-6500",
            "fax_number": "859-514-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERDER",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "37146",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "KY",
            "license": "37146",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KY",
            "license": "37146",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64046717",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnathan Blue Herald I
• Bailee Michele Herbert, RN
• Mrudu Herbert, MD
• Richard F Herbolich, P.T.
• Laura Herchenbach
• Victoria Grace Herdman, MD
• Nahtanha L Hering, LCSW
• Herman & Herman, PSC
• Larry Herman, DMD
• Juan U Hernandez Meza, LCSW

• Neurological Surgery Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Neurological Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.