Active NPI
Sally Gay Siebert, FNP PNP
- Pediatric Nurse Practitioner
- Lexington, KY
National Provider Identifier
1689665333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 308P
- Practice address
- 650 Newtown Pike
Lexington, KY 40508-1197 - Phone
- (859) 252-2371
- Fax
- (859) 288-2468
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1038432 | KY | |
| Family Nurse Practitioner | 363LF0000X | 308P | KY | |
| Pediatric Nurse Practitioner | 363LP0200X | 1038432 | KY | |
| Pediatric Nurse Practitioner | 363LP0200X | 308P | KY | Primary |
Addresses
Primary practice location
650 Newtown Pike
Lexington, KY 40508-1197
Mailing address
1199 Bakers LN
Nicholasville, KY 40356-8716
Phone (859) 887-2350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78002599 | Medicaid | KY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308 | KY | MD | Foot & Ankle Surgery Podiatrist |
| 1038432 | KY | MD | Family Nurse Practitioner |
| 308P | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessamine County Health Department | Current | Accepting new patients |
Locations
210 E Walnut St
Nicholasville, KY 40356
Phone (859) 225-4325
Organizations & group practices 1
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.
-
- State or Local Public Health Clinic/Center
- Nicholasville, KY
- NPI 1861479206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689665333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1199 BAKERS LN",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403568716",
"telephone_number": "859-887-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 NEWTOWN PIKE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405081197",
"telephone_number": "859-252-2371",
"fax_number": "859-288-2468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEBERT",
"first_name": "SALLY",
"middle_name": "GAY",
"credential": "FNP PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "1038432",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "308P",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "KY",
"license": "1038432",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "KY",
"license": "308P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78002599",
"state": "KY"
}
],
"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 Jul 13, 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.