Bluegrass Peds, PLLC
Organization Active NPI Pediatrics Physician · Lexington, KY
NPI 1871464693 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1871464693
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- BLUEGRASS PEDS, PLLC
- Practice address
- 4040 Finn Way Ste 310
Lexington, KY 40517-8379 - Phone
- (859) 277-6516
- NPI assigned
- Sep 15, 2025
- Organization subpart
- No
Authorized official
- Name
- Mrs. Heather Leann Howell, APRN
- Title
- Owner
- Phone
- (606) 471-9424
Practitioners 3
-
Michael Wayne Simon, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2341255 | Simon & Howell Bluegrass Pediatrics | Certificate of waiver | Mar 30, 2028 |
National Provider Directory
Locations
4040 Finn Way
Ste 310
Lexington, KY 40517
Phone (859) 277-6516
175 W Short St
Ste 275
Lexington, KY 40507
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
4040 Finn Way Ste 310
Lexington, KY 40517-8379
Mailing address
175 West Short Street
Suite 275
Lexington, KY 40507
Other names
- Simon & Howell Bluegrass Pediatrics
Other providers in Lexington, KY
- Bluegrass Oxygen Inc
- Bluegrass Oxygen Inc
- Bluegrass Pain Center LLC
- Bluegrass Pathways
- Bluegrass Pediatric Therapy Services LLC
- Bluegrass Physical Therapy Inc.
- Bluegrass Plastic & Reconstructive Surgery
- Bluegrass Primary Care LLC
- Bluegrass Primary Health Care Center, Inc.
- Bluegrass Primary Health Care Center, Inc.
All providers in Lexington, KY · Pediatrics Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.