Individual provider Active NPI

Natalie Hurd Pettit, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Lexington, KY
National Provider Identifier
1912249244
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
49067 Issued in KY
Practice address
1760 Nicholasville Rd Ste 406
Lexington, KY 40503-1444
Phone
(859) 276-4391
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 49067 KY Primary

Addresses

Primary practice location

1760 Nicholasville Rd Ste 406
Lexington, KY 40503-1444

Mailing address

1760 Nicholasville Rd Ste 406
Lexington, KY 40503-1444
Phone (859) 276-4391

Other practice location 1

571 S Floyd St
Suite 412
Louisville, KY 40202-3818
Phone (502) 629-8828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190913002310 KY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9335478452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49067KYMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Healthcare System, Inc Past Accepting new patients
Pediatrix Medical Group of Kentucky PSC Neonatal-Perinatal Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1912249244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 NICHOLASVILLE RD STE 406",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031444",
            "telephone_number": "859-276-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 NICHOLASVILLE RD STE 406",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031444",
            "telephone_number": "859-276-4391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "571 S Floyd St",
            "address_2": "Suite 412",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023818",
            "country_code": "US",
            "telephone_number": "502-629-8828",
            "fax_number": "502-629-6783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "NATALIE",
        "middle_name": "HURD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "KY",
            "license": "49067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.