Individual provider Active NPI

Leeanna Simmons

  • Peer Specialist
  • Louisville, KY
National Provider Identifier
1194582395
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
3934 Dixie Hwy # 325
Louisville, KY 40216-4163
Phone
(502) 384-0886
NPI assigned
Mar 4, 2024
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

3934 Dixie Hwy # 325
Louisville, KY 40216-4163

Mailing address

3934 Dixie Hwy Ste 330
Louisville, KY 40216-4170
Phone (502) 409-4357

Other practice location 1

3934 Dixie Hwy Ste 330
Louisville, KY 40216-4170
Phone (502) 409-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pops House Peer Specialist CurrentSince Mar 12, 2024 Accepting new patients
1St Choice PLLC CurrentSince Mar 12, 2024 Accepting new patients

Locations

3934 Dixie Hwy
Ste 330
Louisville, KY 40216
Phone (502) 409-4357

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1194582395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 DIXIE HWY STE 330",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164170",
            "telephone_number": "502-409-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 DIXIE HWY # 325",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164163",
            "telephone_number": "502-384-0886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3934 Dixie Hwy Ste 330",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402164170",
            "country_code": "US",
            "telephone_number": "502-409-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "LEEANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.