Healthcare Provider Details

I. General information

NPI: 1821887779
Provider Name (Legal Business Name): CATHERINE SYRACUSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S LIMESTONE
LEXINGTON KY
40506-0007
US

IV. Provider business mailing address

4006 BRIAR CREEK RD
LAWRENCEBURG KY
40342-9262
US

V. Phone/Fax

Practice location:
  • Phone: 859-257-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number1154075
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number1154075
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: