Active NPI
Miranda Jean Leilani Lewis, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3018687
- Practice address
- 9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812 - Phone
- (833) 510-4357
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3018687 | KY | Primary |
Addresses
Primary practice location
9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Other names 1
- Miranda Jean Leilani Jansing
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9702 Stonestreet Rd
Suite 120
Louisville, KY 40272-6812
Phone (833) 510-4357
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Brightview LLC | Current | Accepting new patients | |
| Brightview, LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Infinity Care Plus Inc | Current | Accepting new patients | |
| PPL Therapeutic Services PLLC | Current | Accepting new patients | |
| Brightview LLC | Past | Accepting new patients |
Locations
534 Hillcrest Dr
Brandenburg, KY 40108
Phone (270) 422-5000
830 W Broadway St
Campbellsville, KY 42718
Phone (270) 849-4938
96 Future Dr
Corbin, KY 40701
1610 Madison Ave
Covington, KY 41011
201 Harmony Way
Elizabethtown, KY 42701
Phone (270) 506-0798
4135 Dixie Hwy
Elsmere, KY 41018
Phone (855) 510-4357
100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111
1154A Lexington Rd
Georgetown, KY 40324
Phone (502) 868-0008
621 Happy Valley Rd
Glasgow, KY 42141
Phone (270) 398-7634
320 Morton Blvd
Hazard, KY 41701
Phone (606) 487-8383
500 N Green St
Henderson, KY 42420
575 W Main St
Lexington, KY 40507
2645 N Laurel Rd
#A
London, KY 40741
4205 Dixie Hwy
Louisville, KY 40216
Phone (714) 786-5227
9702 Stonestreet Rd
Ste 120
Louisville, KY 40272
Phone (502) 749-6249
9 E Arch St
Madisonville, KY 42431
Phone (270) 491-3942
506 N Main St
Nicholasville, KY 40356
Phone (859) 887-3712
506 N Main St
Ste A
Nicholasville, KY 40356
Phone (606) 887-3140
2202 Martin Luther King Jr Blvd
Paris, KY 40361
Phone (833) 510-5173
3911 N Mayo Trl
Pikeville, KY 41501
6301 Bass Rd
River Bluff, KY 40059
Phone (502) 228-8359
30 Medpark Square Dr
Ste 2
Somerset, KY 42503
4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Professional Counselor
- Crestwood, KY
- NPI 1104323252
-
- Rural Health Clinic/Center
- Bardstown, KY
- NPI 1194320630
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1811736374
-
- Addiction Medicine (Internal Medicine) Physician
- Asheboro, NC
- NPI 1962163782
-
- Methadone Clinic
- Nicholasville, KY
- NPI 1609462472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1215633862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9702 STONESTREET RD STE 120",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402726812",
"telephone_number": "833-510-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MIRANDA",
"middle_name": "JEAN LEILANI",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3018687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIRANDA",
"last_name": "JANSING",
"middle_name": "JEAN LEILANI",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.