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LINCOLN SHADE MD,PHD
NPI 1720873672
Student in an Organized Health Care Education/Training Program in Lexington, KY

Active since April 11, 2025
900 S LIMESTONE CTW 304, LEXINGTON, KY 40506(859) 323-2834 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lincoln Shade Md,phd NPPES

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

LINCOLN SHADE MD,PHD (NPI 1720873672) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1720873672
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLINCOLN SHADECredential: MD,PHD
Location Address900 S LIMESTONE CTW 304Lexington, KY 40506-0293
Mailing Address900 S Limestone Ctw 304Lexington, KY 40506-0293 · (859) 323-2834 · Fax (859) 257-2605
Phone(859) 323-2834
Sole ProprietorNo
Enumeration DateApril 11, 2025
NPPES CertifiedApril 11, 2025
✔ NPI 1720873672 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.
900 S LIMESTONE CTW 304, Lexington, KY 40506
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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 Lincoln Shade's NPI number?

The NPI number for Lincoln Shade is 1720873672. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Where is Lincoln Shade located?

Lincoln Shade practices at 900 S Limestone Ctw 304, Lexington, KY 40506. The listed phone number is (859) 323-2834.

What is Lincoln Shade'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 Lincoln Shade was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.