NPIMap

Organization Active NPI

Pediatric Partners of Northern Kentucky

  • Pediatric Nurse Practitioner
  • Ft Wright, KY
National Provider Identifier
1679270128
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
PEDIATRIC PARTNERS OF NORTHERN KENTUCKY
Practice address
1945 Highland Pike Ste 1
Ft Wright, KY 41017-8127
Phone
(859) 331-4005
Fax
(859) 331-4606
NPI assigned
Feb 14, 2023
Last updated
Feb 14, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PEDIATRIC PARTNERS OF NORTHERN KENTUCKYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Rebecca Sprague
Title
Office Manager
Phone
(859) 331-4005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NU Primary

Addresses

Primary practice location

1945 Highland Pike Ste 1
Ft Wright, KY 41017-8127

Mailing address

1945 Highland Pike Ste 1
Ft Wright, KY 41017-8127
Phone (859) 331-4005

Other names 1

  • Pediatric Partners of NKY APRNs Other name

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Partners of Northern Kentucky2 organizations share this tax ID, including this one
Part of
Pediatric Partners of Northern Kentucky

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1679270128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 HIGHLAND PIKE STE 1",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410178127",
            "telephone_number": "859-331-4005",
            "fax_number": "859-331-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 HIGHLAND PIKE STE 1",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410178127",
            "telephone_number": "859-331-4005",
            "fax_number": "859-331-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PARTNERS OF NORTHERN KENTUCKY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC PARTNERS OF NORTHERN KENTUCKY",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "SPRAGUE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "859-331-4005"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Partners of NKY APRNs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ft Wright, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.