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MRS. PHYLLIS M WALDRIDGE RN
NPI 1104966274
Registered Nurse - Psychiatric/Mental Health in Lexington, KY

Active since February 07, 2007
627 W 4TH ST, LEXINGTON, KY 40508(859) 253-1686(859) 254-2743 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Phyllis M Waldridge Rn NPPES

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

MRS. PHYLLIS M WALDRIDGE RN (NPI 1104966274) is an individual psychiatric/mental health provider in Lexington, Kentucky, licensed in Kentucky (1082554) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1104966274
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameMRS. PHYLLIS M WALDRIDGECredential: RN
Location Address627 W 4TH STLexington, KY 40508-1207
Mailing Address1351 Newtown PikeLexington, KY 40511-1217 · (859) 253-1686 · Fax (859) 254-2743
Phone(859) 253-1686
Fax(859) 254-2743
Sole ProprietorNo
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1104966274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in KY · 1082554
627 W 4TH ST, Lexington, KY 40508
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Other Identifiers 2

Medicaid30615058KY
Medicare ID-Type Unspecified0452KY · Medicare

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.

MISS RACHEL J BATES
Counselor (Mental Health)
627 W 4TH ST
LEXINGTON, KY 40508
Fayette County (859) 253-1686
MS. RITA K BRITT-JOHNSON CADC, LSW
Counselor (Mental Health)
627 W 4TH ST
LEXINGTON, KY 40508
Fayette County (859) 253-1686
WHITNEY A WARD
Counselor (Mental Health)
627 W 4TH ST
LEXINGTON, KY 40508
Fayette County (859) 253-1686
MS. EMMA A BURTON
Counselor (Mental Health)
627 W 4TH ST
LEXINGTON, KY 40508
Fayette County (859) 253-1686
MISS HEATHER LEEANN LAKES
Counselor (Mental Health)
627 W 4TH ST
LEXINGTON, KY 40508
Fayette County (859) 253-1686
JENNIFER B NEWTON
Counselor (Mental Health)
627 W 4TH ST
LEXINGTON, KY 40508
Fayette County (859) 253-1686
MRS. ERNA S PROFITT LSW
Social Worker
627 W 4TH ST
LEXINGTON, KY 40508
Fayette County (859) 253-1686
TAMI DAMRON
Counselor (Mental Health)
627 W 4TH ST
LEXINGTON, KY 40508
Fayette County (859) 253-1686

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 Phyllis Waldridge's NPI number?

The NPI number for Phyllis Waldridge is 1104966274. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Phyllis Waldridge located?

Phyllis Waldridge practices at 627 W 4th St, Lexington, KY 40508. The listed phone number is (859) 253-1686.

What is Phyllis Waldridge's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Phyllis Waldridge was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.