PAULINE RUTH SIDERS APRN NPI 1578890968

NPI Information

  • NPI: 1578890968
  • Provider Name: PAULINE RUTH SIDERS, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3150 CUSTER DR
    SUITE 201
    LEXINGTON, KY
    ZIP 40517
  • Phone: (859) 229-0085

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NPI Details

Pauline Ruth Siders, APRN is a psychiatric/mental health nurse practitioner in Lexington, KY. Pauline Ruth Siders, APRN NPI is 1578890968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3150 CUSTER DR
SUITE 201
LEXINGTON, KY
ZIP 40517-010
Phone: (859) 229-0085
Fax: (859) 273-6778

The NPI 1578890968 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/6/2009 and was last updated on 4/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health3002633KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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