Individual provider Active NPI

Lyndsey Pickett Witt, PA-C

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1861977811
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC759 Issued in KY
Practice address
1760 Nicholasville Rd Ste 301
Lexington, KY 40503-1472
Phone
(859) 277-6143
Fax
(859) 277-8659
NPI assigned
Sep 26, 2018
Last updated
Dec 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TC759 KY Primary

Addresses

Primary practice location

1760 Nicholasville Rd Ste 301
Lexington, KY 40503-1472

Mailing address

230 Lexington Green Cir Ste 600
Lexington, KY 40503-3326
Phone (859) 971-4695

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lwitt78296@bhkydirect.com

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
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1861977811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LEXINGTON GREEN CIR STE 600",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033326",
            "telephone_number": "859-971-4695",
            "fax_number": "859-971-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 NICHOLASVILLE RD STE 301",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031472",
            "telephone_number": "859-277-6143",
            "fax_number": "859-277-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "LYNDSEY",
        "middle_name": "PICKETT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwitt78296@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1760 Nicholasville Rd Ste 301",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405031472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 16, 2020; 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.