Angelique Marie Leist (NPI# 1053828145, PAC ID# 8022378405) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053828145 |
| PAC ID by PECOS | 8022378405 |
| Professional Enrollment ID | I20180202001012 |
| Full Name | Angelique Marie Leist |
| Organization Legal Name | SHC MEDICAL PARTNERS OF KENTUCKY, LLC |
| Address |
1877 Farnsley Rd Louisville KY 40216-4701 |
| Phone Number | 5024488622 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153406301 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180088 | NORTON HOSPITALS, INC |
| 180040 | JEWISH HOSPITAL & ST MARY'S HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 1877 Farnsley Rd, Louisville, KY 40216-4701 | 5024488622 | SHC MEDICAL PARTNERS OF KENTUCKY, LLC |
| 3103 Breckenridge Ln, Suite 1, Louisville, KY 40220-2798 | 5024955055 | REHABILITATION INSTITUTE PLLC |
| Organization Legal Name | SHC MEDICAL PARTNERS OF KENTUCKY, LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frances Danielle Mehicic | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 599 Rogersville Rd, Radcliff, KY 40160-9321 |
| Deborah Ann Zinsius | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 2100 Millvale Rd, Louisville, KY 40205-1604 |
| Calli Morgan Cox | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 717 N Lincoln Blvd, Hodgenville, KY 42748-1622 |
| Meng Zhang | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 50 Shepherd Ln, Bedford, KY 40006-7845 |
| Gina Ann Green | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 1120 Cristland Rd, Louisville, KY 40214-4150 |
| Kambra J Long | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 1614 W Parrish Ave, Owensboro, KY 42301-3535 |
| Kristin J Bowman | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 260 S Mayo Trl, Pikeville, KY 41501-1520 |
| Rohan Alexander | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 4700 Quinn Dr, Louisville, KY 40216-2943 |
| Jennifer S Moore | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 79 Sparrow St, Prestonsburg, KY 41653-1336 |
| Yvonne T Pfanenstiel | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 114 E Mcmurtry Ave, Hartford, KY 42347-1614 |
| Street Address |
1877 FARNSLEY RD |
| City | LOUISVILLE |
| State | KY |
| Zip | 40216-4701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Summers | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 1877 Farnsley Rd, Louisville, KY 40216-4701 |
| Trista Eady | Clinical Social Worker | Shc Medical Partners of Kentucky, LLC | 1877 Farnsley Rd, Louisville, KY 40216-4701 |
| Angela D Ethridge | Nurse Practitioner | 1877 Farnsley Rd, Louisville, KY 40216-4701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Izabella M Sullivan | Nurse Practitioner | Baptist Health Medical Group Inc | 7100 Raggard Rd, Louisville, KY 40216-1287 |
| Amanda Saccone | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 5100 Dixie Hwy, Louisville, KY 40216-1702 |
| Haydee N Canovas | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 5100 Dixie Hwy, Louisville, KY 40216-1702 |
| Nella J Perrella | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 5100 Dixie Hwy, Louisville, KY 40216-1702 |
| Carolyn E Kallmeyer | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 5100 Dixie Hwy, Louisville, KY 40216-1702 |
| Linda W Mcmillan | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 5100 Dixie Hwy, Louisville, KY 40216-1702 |
| Amy Ketterer | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 5100 Dixie Hwy, Louisville, KY 40216-1702 |
| Carrie A Mendelsberg | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 5100 Dixie Hwy, Louisville, KY 40216-1702 |
| Donald C Mcfadden | Optometry | Dr. Mark Lynn and Associates, Pllc | 5224 Dixie Hwy, Louisville, KY 40216-1704 |
| Carl G Stanis | Optometry | Dr. Mark Lynn and Associates, Pllc | 5224 Dixie Hwy, Louisville, KY 40216-1704 |
| Find all physicians in zip 40216 | |||
| City | LOUISVILLE |
| Zip Code | 40216 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOUISVILLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.