Healthcare Provider Details

I. General information

NPI: 1336946581
Provider Name (Legal Business Name): STEVEN TRENT BEEGHLY APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2025
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 BULL LEA RD
LEXINGTON KY
40511-1247
US

IV. Provider business mailing address

109 BROOKWOOD LN
WILMORE KY
40390-9786
US

V. Phone/Fax

Practice location:
  • Phone: 859-246-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number1167967
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4053273
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: