Organization Active NPI

Nephrology Associates of Lexington PSC

  • Nephrology Physician
  • Lexington, KY
National Provider Identifier
1912005117
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES OF LEXINGTON PSC
Practice address
1401 Harrodsburg Rd
C-335
Lexington, KY 40504-3751
Phone
(859) 278-2575
Fax
(859) 275-1630
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Mrs. Katie M Creelman
Title
Practice Manager
Phone
(859) 406-6170

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X Primary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1401 Harrodsburg Rd
C-335
Lexington, KY 40504-3751

Mailing address

1401 Harrodsburg Rd
C-335
Lexington, KY 40504-3751
Phone (859) 278-2575

Other identifiers 1

IdentifierTypeStateIssuer
6590578800MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040506001597 KY Part B Supplier - Clinic/Group Practice 0042209942 Receives reassigned benefits from 9 practitioners
Practice locations: Lexington, KY; Maysville, KY; Mount Sterling, KY; Mt Sterling, KY; Nicholasville, KY; Paris, KY; Richmond, KY; Versailles, KY…

National Provider Directory

National Provider Directory

Locations

500 S Main St
Corbin, KY 40701
Phone (606) 276-5355

1 Trillium Way
#5
Corbin, KY 40701
Phone (606) 451-2994

1223 Sycamore St
Danville, KY 40422
Phone (606) 276-5355

105 Ponder Ct
Danville, KY 40422
Phone (606) 236-4216

975 Hustonville Rd
Ste 1
Danville, KY 40422
Phone (859) 236-2214

475 Whirlaway Dr
Danville, KY 40422
Phone (859) 236-5982

279 Kings Daughters Dr
Ste 2
Frankfort, KY 40601

1156 Lexington Rd
Ste A
Georgetown, KY 40324
Phone (502) 867-0244

1610 Leestown Rd
Lexington, KY 40511

1517 Nicholasville Rd
Ste 405
Lexington, KY 40503
Phone (859) 276-5355

1101 Winchester Rd
Lexington, KY 40505
Phone (859) 225-4595

1591 Winchester Rd
Lexington, KY 40505
Phone (859) 299-3379

1401 Harrodsburg Rd
Ste C33
Lexington, KY 40504

1733 Harrodsburg Rd
#220
Lexington, KY 40504
Phone (859) 253-2520

1591 Winchester Rd
Ste 102
Lexington, KY 40505
Phone (859) 299-3379

805 Alexa Dr
Ste E
Mt Sterling, KY 40353
Phone (606) 776-0134

100 Keystone Dr
Ste B
Richmond, KY 40475
Phone (859) 625-0937

100 Keystone Dr
Ste D
Richmond, KY 40475
Phone (859) 625-0937

100 Keystone Dr
Ste C
Richmond, KY 40475
Phone (606) 401-2966

497 Eastern Byp
Richmond, KY 40475
Phone (606) 276-5355

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0000205

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1912005117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "C-335",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-278-2575",
            "fax_number": "859-275-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "C-335",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-278-2575",
            "fax_number": "859-275-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF LEXINGTON PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "CREELMAN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "859-406-6170",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6590578800",
            "state": "KY"
        }
    ],
    "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 Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.