OrganizationActive
St Luke Pediatric Center
NPI 1104087196 · Pediatric Nurse Practitioner · Bellevue, KY
Provider details
- NPI number
- 1104087196
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stephanie Sanchez, Coder(859) 261-3700
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
103 Landmark Dr Ste 360
Bellevue, KY 41073-1354
Phone: (859) 261-3700
Fax: (859) 261-9788
Street-level locationGet directions
Mailing address
103 Landmark Dr Ste 360
Bellevue, KY 41073-1354
Registry dates
- Enumerated
- 2008-06-23
- Last updated
- 2008-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.