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ST LUKE PEDIATRIC CENTER
NPI 1104087196
Nurse Practitioner - Pediatrics in Bellevue, KY

Active since June 23, 2008
103 LANDMARK DR STE 360, BELLEVUE, KY 41073(859) 261-3700(859) 261-9788 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Luke Pediatric Center NPPES

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

ST LUKE PEDIATRIC CENTER (NPI 1104087196) is a healthcare organization registered as a pediatrics in Bellevue, Kentucky and active in the NPI registry since June 2008. The organization lists Stephanie Sanchez, Coder, as its authorized official.

NPPES Registry Identity

NPI1104087196
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameST LUKE PEDIATRIC CENTER
Location Address103 LANDMARK DR STE 360Bellevue, KY 41073-1354
Mailing Address103 Landmark Dr Ste 360Bellevue, KY 41073-1354 · (859) 261-3700 · Fax (859) 261-9788
Phone(859) 261-3700
Fax(859) 261-9788
Organization SubpartNo
Authorized OfficialStephanie SanchezCoder · (859) 261-3700
Enumeration DateJune 23, 2008
✔ NPI 1104087196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
103 LANDMARK DR STE 360, Bellevue, KY 41073
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Other Identifiers 2

Other78901709KY · Medicaid Np Group
Medicaid65915621KY

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

Other Providers at the Same Location NPPES

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

ST LUKE HOSPITAL INC
Pediatrics
103 LANDMARK DR STE 360
BELLEVUE, KY 41073
Campbell County (859) 261-3700

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 St Luke Pediatric Center's NPI number?

The NPI number for St Luke Pediatric Center is 1104087196. It was assigned to this organization in the NPPES registry on June 23, 2008.

Where is St Luke Pediatric Center located?

St Luke Pediatric Center is located at 103 Landmark Dr Ste 360, Bellevue, KY 41073. The listed phone number is (859) 261-3700.

What is St Luke Pediatric Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for St Luke Pediatric Center was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.