MT WASHINGTON PEDIATRICS PLLC
NPI 1013784982
Nurse Practitioner - Family in Mount Washington, KY

Active since December 11, 2023CLIA 18D2297361 · Waiver
138 EASTBROOKE CT UNIT 115, MOUNT WASHINGTON, KY 40047(502) 617-4068 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2025, Dec 13, 2023 (2 updates tracked since 2023).

About Mt Washington Pediatrics Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MT WASHINGTON PEDIATRICS PLLC (NPI 1013784982) is a healthcare organization registered as a family in Mount Washington, Kentucky and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists Alicia Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1013784982
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMT WASHINGTON PEDIATRICS PLLC
Location Address138 EASTBROOKE CT UNIT 115Mount Washington, KY 40047-5570
Mailing Address138 Eastbrooke Ct Unit 115Mount Washington, KY 40047-5570 · (502) 617-4068
Organization SubpartNo
Authorized OfficialAlicia AndersonOwner · (502) 617-4068
Enumeration DateDecember 11, 2023
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
NPI 1013784982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
138 EASTBROOKE CT UNIT 115, Mount Washington, KY 40047

Other Names 1

Doing Business AsMt Washington Pediatrics Pllc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2297361

Mt Washington Pediatrics PLLC · Mount Washington, KY
Active · expires Jan 15, 2028
CLIA Number18D2297361
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorMs. Alicia F. Anderson
Laboratory Phone(502) 617-4068
Laboratory LocationMt Washington Pediatrics PLLC138 East Brooke Court #115, Mount Washington, KY 40047
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
138 EASTBROOKE CT UNIT 115
MOUNT WASHINGTON, KY 40047
Nurse Practitioner (Family)
138 EASTBROOKE CT UNIT 115
MOUNT WASHINGTON, KY 40047

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mt Washington Pediatrics PLLC's NPI number?

The NPI number for Mt Washington Pediatrics PLLC is 1013784982. It was assigned to this organization in the NPPES registry on December 11, 2023.

Where is Mt Washington Pediatrics PLLC located?

Mt Washington Pediatrics PLLC is located at 138 Eastbrooke Ct Unit 115, Mount Washington, KY 40047. The listed phone number is (502) 617-4068.

What is Mt Washington Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Mt Washington Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2297361) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mt Washington Pediatrics PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Mt Washington Pediatrics PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mt Washington Pediatrics PLLC was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.