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STEPHANIE N. SOUTHARD, PSC
NPI 1629267315
Clinic/Center - Primary Care in Monticello, KY

Active since October 18, 2007
1215 N MAIN ST, SUITE 2, MONTICELLO, KY 42633(606) 340-8825(606) 340-0097 Get Directions Write a Review

NPPES record last updated: June 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie N. Southard, Psc NPPES

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

STEPHANIE N. SOUTHARD, PSC (NPI 1629267315) is a healthcare organization registered as a primary care in Monticello, Kentucky and active in the NPI registry since October 2007. The organization lists Stephanie Nicole Southard, President, as its authorized official.

NPPES Registry Identity

NPI1629267315
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSTEPHANIE N. SOUTHARD, PSC
Location Address1215 N MAIN ST, SUITE 2Monticello, KY 42633-2900
Mailing Address1215 N Main St, Suite 2Monticello, KY 42633-2900 · (606) 340-8825 · Fax (606) 340-0097
Phone(606) 340-8825
Fax(606) 340-0097
Organization SubpartNo
Authorized OfficialStephanie Nicole SouthardPresident · (606) 340-8825
Enumeration DateOctober 18, 2007
Last NPPES UpdateJune 3, 2010
✔ NPI 1629267315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in KY · 02809
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1215 N MAIN ST, Monticello, KY 42633
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Other Identifiers 2

Medicare PIN00461001KY
Medicaid64061807KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

STEPHANIE N SOUTHARD, PSC
Nurse Practitioner (Family)
1215 N MAIN ST, SUITE 2
MONTICELLO, KY 42633
Wayne County (606) 340-8825

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 Stephanie N. Southard, Psc's NPI number?

The NPI number for Stephanie N. Southard, Psc is 1629267315. It was assigned to this organization in the NPPES registry on October 18, 2007.

Where is Stephanie N. Southard, Psc located?

Stephanie N. Southard, Psc is located at 1215 N Main St Suite 2, Monticello, KY 42633. The listed phone number is (606) 340-8825.

What is Stephanie N. Southard, Psc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Stephanie N. Southard, Psc was last updated on June 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.