Organization Active NPI

Spectrum Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1770749517
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SPECTRUM PSYCHIATRY, PLLC
Practice address
1030 Monarch St
Suite 1
Lexington, KY 40513-1843
Phone
(859) 296-0066
Fax
(859) 296-1155
NPI assigned
Jul 31, 2008
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Carla L Sanders, ARNP
Title
Owner
Phone
(859) 296-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1030 Monarch St
Suite 1
Lexington, KY 40513-1843

Mailing address

1030 Monarch St
Suite 1
Lexington, KY 40513-1843
Phone (859) 296-0066

National Provider Directory

National Provider Directory

Locations

1030 Monarch St
#1
Lexington, KY 40513
Phone (859) 296-0066

1030 Monarch St
Ste 1
Lexington, KY 40513
Phone (859) 296-0066

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1770749517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MONARCH ST",
            "address_2": "SUITE 1",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131843",
            "telephone_number": "859-296-0066",
            "fax_number": "859-296-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MONARCH ST",
            "address_2": "SUITE 1",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131843",
            "telephone_number": "859-296-0066",
            "fax_number": "859-296-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-296-0066",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 31, 2008; 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.