=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801742598
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOMNEX HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/06/2026
-----------------------------------------------------
Last Update Date | 03/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3499 BLAZER PKWY STE 330
-----------------------------------------------------
City | LEXINGTON
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40509-2828
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-724-5370
-----------------------------------------------------
Fax | 859-201-1084
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3499 BLAZER PKWY STE 330
-----------------------------------------------------
City | LEXINGTON
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40509-2828
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-724-5370
-----------------------------------------------------
Fax | 859-201-1084
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. CHARISSA BETH PHILLIPS
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 859-724-5370
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------