Organization Active NPI

Kentucky Medical Consultants of the Bluegrass, LLC

  • Multi-Specialty Clinic/Center
  • Lexington, KY
National Provider Identifier
1821548686
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KENTUCKY MEDICAL CONSULTANTS OF THE BLUEGRASS, LLC
Practice address
717 Allenridge PT Ste 140
Lexington, KY 40510-1021
Phone
(859) 469-9218
Fax
(859) 523-6269
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Dr. Sarah Cecil, DNP, APRN
Title
President
Phone
(859) 469-9218

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

717 Allenridge PT Ste 140
Lexington, KY 40510-1021

Mailing address

717 Allenridge PT Ste 120
Lexington, KY 40510-1021
Phone (859) 469-9218

Other practice location 1

325 Clyde Morris Blvd Ste 390
Ormond Beach, FL 32174-8179
Phone (859) 469-9218

Other names 2

  • Beachside Medical Group Doing business as
  • Sarah Cecil, DNP, APRN Doing business as

National Provider Directory

National Provider Directory

Locations

717 Allenridge Pt
Ste 210
Lexington, KY 40510

717 Allenridge Pt
Ste 120
Lexington, KY 40510

717 Allenridge Pt
Ste 140
Lexington, KY 40510
Phone (859) 469-9218

717 Allenridge Pt
Lexington, KY 40510

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1821548686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 ALLENRIDGE PT STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405101021",
            "telephone_number": "859-469-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ALLENRIDGE PT STE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405101021",
            "telephone_number": "859-469-9218",
            "fax_number": "859-523-6269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Clyde Morris Blvd Ste 390",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321748179",
            "country_code": "US",
            "telephone_number": "859-469-9218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENTUCKY MEDICAL CONSULTANTS OF THE BLUEGRASS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "CECIL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-469-9218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beachside Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beachside Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sarah Cecil, DNP, APRN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 13, 2024; 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.