Individual provider Active NPI

Sally Gay Siebert, FNP PNP

  • Pediatric Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1689665333
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
308P Issued in KY
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
78002599MedicaidKY

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

LicenseStateTypeSpecialty
308KYMDFoot & Ankle Surgery Podiatrist
1038432KYMDFamily Nurse Practitioner
308PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jessamine County Health Department CurrentSince Apr 8, 2012 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.

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.

Verify at the official NPI Registry.