Active NPI
Stephanie Nicole Dalton, CSA
- Surgical Assistant
- Lexington, KY
National Provider Identifier
1831663327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 4503
- Practice address
- 3480 Yorkshire Medical Park
Lexington, KY 40509-1886 - Phone
- (859) 707-1104
- NPI assigned
- Jan 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 4503 | KY | Primary |
Addresses
Primary practice location
3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Mailing address
2229 Redbud LN
Paris, KY 40361-2435
Phone (859) 707-1104
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4503 | KY | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1831663327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2229 REDBUD LN",
"city": "PARIS",
"state": "KY",
"postal_code": "403612435",
"telephone_number": "859-707-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3480 YORKSHIRE MEDICAL PARK",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091886",
"telephone_number": "859-707-1104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "STEPHANIE",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "CSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-17",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "KY",
"license": "4503",
"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 Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.