Active NPI
Sally R. McEnroe, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Somerset, KY
National Provider Identifier
1932190212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 235P
- Practice address
- 101 Hardin LN
Somerset, KY 42503-3814 - Phone
- (606) 679-7348
- Fax
- (606) 679-4097
- NPI assigned
- Nov 4, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 235P | KY | Primary |
Addresses
Primary practice location
101 Hardin LN
Somerset, KY 42503-3814
Mailing address
510 Leaf LN
Somerset, KY 42503-4662
Phone (606) 679-4997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78001484 | Medicaid | KY |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235P | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Adanta Group
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1336172642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1932190212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 LEAF LN",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425034662",
"telephone_number": "606-679-4997",
"fax_number": "606-679-5976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HARDIN LN",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033814",
"telephone_number": "606-679-7348",
"fax_number": "606-679-4097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCENROE",
"first_name": "SALLY",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "235P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78001484",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.