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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANNA ELIZABETH DETHERAGE
NPI 1104735505
Student in an Organized Health Care Education/Training Program in Lexington, KY

Active since September 02, 2026
780 ROSE ST, LEXINGTON, KY 40536(859) 323-6161 Get Directions Write a Review

NPPES record added: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Anna Elizabeth Detherage NPPES

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

ANNA ELIZABETH DETHERAGE (NPI 1104735505) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1104735505
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANNA ELIZABETH DETHERAGE
Location Address780 ROSE STLexington, KY 40536-0001
Mailing Address3393 Bayberry DrAshland, KY 41102-6698 · (606) 585-6323
Phone(859) 323-6161
Sole ProprietorNo
Enumeration DateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
✔ NPI 1104735505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
780 ROSE ST, Lexington, KY 40536
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Other Providers at the Same Location NPPES 20

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

JOSHUA HEITKEMPER
Student in an Organized Health Care Education/Training Program
780 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6161
ADRIANA SISTIG
Student in an Organized Health Care Education/Training Program
780 ROSE ST
LEXINGTON, KY 40536
Fayette County (781) 296-1961
KARISSA LEWIS
Student in an Organized Health Care Education/Training Program
780 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6161
NADIA KAUR GILL
Student in an Organized Health Care Education/Training Program
780 ROSE ST
LEXINGTON, KY 40536
Fayette County (502) 468-5509
VICTORIA LYNN NICHOLE ELLIS
Student in an Organized Health Care Education/Training Program
780 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6161
ETHAN ALEXANDER LAWHORN
Student in an Organized Health Care Education/Training Program
780 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6161
ABBY JOHNSON
Student in an Organized Health Care Education/Training Program
780 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6161
REBECCA ONEILL
Student in an Organized Health Care Education/Training Program
780 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6161

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 Anna Detherage's NPI number?

The NPI number for Anna Detherage is 1104735505. It was assigned to this individual provider in the NPPES registry on September 2, 2026.

Where is Anna Detherage located?

Anna Detherage practices at 780 Rose St, Lexington, KY 40536. The listed phone number is (859) 323-6161.

What is Anna Detherage's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Anna Detherage was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.