Premier Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PREMIER PEDIATRICS, PLLC

Practice address

2408 Sir Barton Way Ste 125
Lexington, KY 40509-8303

Phone

(859) 810-7337

NPI assigned

Jul 7, 2022

Last updated

Sep 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Kostelnik, DONPI 1073831558

Title

Physician Owner

Phone

(859) 229-5198

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Lauren F Kostelnik, D.O.

  • Pediatrics Physician
  • Winchester, KY
  • NPI 1073831558
  NPD Authorized official

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662163200000",
    "number": "1801529854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 GOODPASTER WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405059005",
            "telephone_number": "859-229-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 SIR BARTON WAY STE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098303",
            "telephone_number": "859-810-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-09-03",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "KOSTELNIK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "859-229-5198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keaton Lloyd Prebble, PHARMACY INTERN
• Precision Fit Medical
• Preferred Case Management, LLC
• Preferred Injury Physicians LLC
• Premier Clinical Laboratory LLC
• Premiertox 2 0 LLC
• Premise Health of Kentucky Medical, P.S.C. (Smucker Lexington Health and Wellness Center)
• Jordan Myers Prendergast, DO
• Eryn A. Presler-Arnold, OT
• Madeline Whitney Presley

• Pediatrics Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.