Organization Active NPI

Pure Aesthetics and Wellness LLC

  • Family Nurse Practitioner
  • Leitchfield, KY
National Provider Identifier
1104735018
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PURE AESTHETICS AND WELLNESS LLC
Practice address
302 W White Oak St Ste C
Leitchfield, KY 42754-1070
Phone
(270) 899-9861
NPI assigned
Sep 4, 2026
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy Bounds, APRN
Title
Owner
Phone
(731) 377-6382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

302 W White Oak St Ste C
Leitchfield, KY 42754-1070

Mailing address

302 W White Oak St Ste C
Leitchfield, KY 42754-1070
Phone (270) 899-9861

National Provider Directory

National Provider Directory

Locations

302 W White Oak St
Ste C
Leitchfield, KY 42754
Phone (270) 899-9861

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1104735018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W WHITE OAK ST STE C",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541070",
            "telephone_number": "270-899-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W WHITE OAK ST STE C",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541070",
            "telephone_number": "270-899-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE AESTHETICS AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "BOUNDS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-377-6382",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leitchfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.