MEDICARE: ROBIN SUTCLIFFE APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	3006478	KY
2	363LF0000X	Family Nurse Practitioner	3006478	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1088116	OTHER	KY	WELLCARE OF KY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000948426	OTHER	KY	ANTHEM

General Provider Information

NPI Number	:	1730490921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN SUTCLIFFE APRN

Provider Business Mailing Address
First Line	:	UK DIVISION OF DIGESTIVE DISEASES 800 ROSE ST
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40536-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1780 NICHOLASVILLE RD STE 202
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-1412
Country	:	US
Telephone Number	:	859-260-5051
Fax Number	:	859-260-5052

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2010
Last Update Date	:	04/05/2021

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