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SPECIALISTSMAT PSC
NPI 1851998181
Anesthesiology - Addiction Medicine in Elizabethtown, KY

Active since October 09, 2020CLIA 18D2198020 · Accreditation
110 CHASE WAY STE 2, ELIZABETHTOWN, KY 42701(502) 212-0071(502) 530-5303 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2025, Sep 15, 2025, Sep 9, 2025 and 3 more (6 updates tracked since 2020).

About Specialistsmat Psc NPPES

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

SPECIALISTSMAT PSC (NPI 1851998181) is a healthcare organization registered as an addiction medicine in Elizabethtown, Kentucky and active in the NPI registry since October 2020. The organization holds an CLIA Accreditation certificate valid through March 15, 2028, maintains a secondary practice location in Jeffersontown, and lists Cara Nicole Netherton, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1851998181
Entity TypeOrganization
Primary Taxonomy207LA0401X
Legal Business NameSPECIALISTSMAT PSC
Location Address110 CHASE WAY STE 2Elizabethtown, KY 42701-7827
Mailing Address110 Chase Way Ste 2Elizabethtown, KY 42701-7827 · (502) 212-0071 · Fax (502) 996-8359
Phone(502) 212-0071
Fax(502) 530-5303
Organization SubpartNo
Authorized OfficialCara Nicole NethertonPractice Manager · (502) 212-0071
Enumeration DateOctober 9, 2020
Last NPPES UpdateNovember 17, 20256 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1851998181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAnesthesiology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LA0401X
Definition
An anesthesiologist who specializes in the diagnosis and treatment of addictions.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
110 CHASE WAY STE 2, Elizabethtown, KY 42701
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Secondary Practice Location 1

Location 13310 Ruckriegel PkwyJeffersontown, KY 40299-3764 · Phone (502) 212-0071 · Fax (502) 996-8359

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 18D2198020

Specialists Mat Psc · Jeffersontown, KY
Active · expires Mar 15, 2028
CLIA Number18D2198020
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorDr. Nancy F. Lerner
Laboratory Phone(502) 212-0071
Laboratory LocationSpecialists Mat Psc3310 Ruckriegel Parkway, Jeffersontown, KY 40299
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 4

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

MR. CRAIG DOUGLAS ROUBEN
Nurse Practitioner (Family)
110 CHASE WAY STE 2
ELIZABETHTOWN, KY 42701
Hardin County (502) 212-0071
GUY LERNER MD
Anesthesiology (Addiction Medicine)
110 CHASE WAY STE 2
ELIZABETHTOWN, KY 42701
Hardin County (502) 212-0071
BROOKE BISCHOFF APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
110 CHASE WAY STE 2
ELIZABETHTOWN, KY 42701
Hardin County (502) 212-0071
TARA O'BRIEN APRN
Nurse Practitioner
110 CHASE WAY STE 2
ELIZABETHTOWN, KY 42701
Hardin County (502) 212-0071

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 Specialistsmat Psc's NPI number?

The NPI number for Specialistsmat Psc is 1851998181. It was assigned to this organization in the NPPES registry on October 9, 2020.

Where is Specialistsmat Psc located?

Specialistsmat Psc is located at 110 Chase Way Ste 2, Elizabethtown, KY 42701. The listed phone number is (502) 212-0071.

What is Specialistsmat Psc's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

Does Specialistsmat Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 18D2198020) is associated with this NPI, valid through March 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Specialistsmat Psc was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.