NULEASE MEDICAL SOLUTIONS LLC (NPI# 1194254219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194254219 |
| Entity Type | Organization |
| Organization Name | NULEASE MEDICAL SOLUTIONS LLC |
| Practice Address |
5722 Outer Loop Louisville KY 40219-4156 |
| Practice Telephone | 5024927455 |
| Practice Fax Number | 5029210222 |
| Mailing Telephone | 5024927455 |
| Mailing Fax Number | 5029210222 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | SHANNON CALES (OWNER) |
| Authorized Official Telephone | 5024927455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000001064305 | 01 |
| KY | 7100498520 | 05 | |
| KY | PASSPORT | 50126591 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 N Hayden Ave, Salem, KY 420788008 | 2709882081 | 2709882066 |
| 322a Highway 44 East, Shepherdsville, KY 40165 | (502) 492-7455 | 5029210222 |
| 5722 Outer Loop, Louisville, KY 402194156 | 5024927455 | 5029210222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024424 | Nulease Medical Solutions LLC | Counselor | 1327 E Broadway St Ste B, Campbellsville, KY 42718-1599 | 2020-02-11 |
| Street Address |
5722 OUTER LOOP |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40219-4156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760469134 | Allison Gayle Phillips | Nurse Practitioner | 5722 Outer Loop, Louisville, KY 40219-4156 | 2005-12-28 |
| 1902404478 | Tracy Pennington | Social Worker | 5722 Outer Loop, Louisville, KY 40219-4156 | 2020-10-15 |
| 1356965024 | Patrick Burke | Social Worker | 5722 Outer Loop, Louisville, KY 40219-4156 | 2020-05-29 |
| 1689225724 | Shannon Cales | Respiratory Therapist, Registered | 5722 Outer Loop, Louisville, KY 40219-4156 | 2019-09-20 |
| 1235632464 | Sara Martin | Nurse Practitioner | 5722 Outer Loop, Louisville, KY 40219-4156 | 2018-03-14 |
| 1346607405 | Dolori Jean Troutt | Counselor | 5722 Outer Loop, Louisville, KY 40219 | 2016-01-20 |
| 1750777686 | Brett T. Wahlgren | Anesthesiology | 5722 Outer Loop, Louisville, KY 40219 | 2015-04-07 |
| 1619932084 | Richard H Cales | Family Medicine | 5722 Outer Loop, Louisville, KY 40219-4156 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1174165989 | Joann Deborah Hobbs | Nurse Practitioner | 8216 Delido Rd, Louisville, KY 40219 | 2019-10-14 |
| 1962989319 | Jennifer Lynn Pinkerton | Hearing Instrument Specialist | 7326 Preston Hwy, Suite 206a, Louisville, KY 40219 | 2018-07-27 |
| 1942748447 | Melissa Freeman Emanuele | Speech-Language Pathologist | 1550 Raydale Drive, Lousville, KY 40219 | 2017-02-03 |
| 1083014013 | Christopher Maxey | Specialist/Technologist | Fern Valley Rd, Louisville, KY 40219 | 2014-08-27 |
| 1679985949 | Antwan Turner | Case Manager/Care Coordinator | 5523 Saxon Blvd, Louisville, KY 40219 | 2014-05-21 |
| 1386055168 | Kelly Larson | Case Manager/Care Coordinator | 6809 Bebe Ct., Louisville, KY 40219 | 2014-05-14 |
| 1639414626 | Prettysmilesdenturesandmorellc | Dentist | 19123 West Mcnichols Rd, Detroit, MI 40219 | 2012-12-03 |
| 1881967701 | Vickie Lynn Dixon | Homemaker | 3516 Templewood Dr., Louisville, KY 40219 | 2012-02-23 |
| 1811157555 | Tonya Lynn Frost | Chiropractor | 4300 Outer Loop Ste 10, Louisville, KY 40219 | 2008-06-16 |
| Find all providers in zip 40219 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40219 |
Please comment or provide details below to improve the information on NULEASE MEDICAL SOLUTIONS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.