Individual provider Active NPI

Angela L Leinenbach Flint, DNP

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1255975397
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3013974 Issued in KY
Practice address
204 E Market St
Louisville, KY 40202-1218
Phone
(502) 588-4340
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3013974 KY Primary

Addresses

Primary practice location

204 E Market St
Louisville, KY 40202-1218

Mailing address

4010 Marquette Dr
Floyds Knobs, IN 47119-9767
Phone (502) 216-4214

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191230002598 KY Practitioner - Nurse Practitioner 0648604595 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3013974KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Nov 21, 2019 Accepting new patients
M&M Medical Clinics LLC CurrentSince Dec 1, 2021 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 21, 2019 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

204 E Market St
Louisville, KY 40202
Phone (502) 588-4340

215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

240 Masonic Home Dr
Masonic Home, KY 40041
Phone (502) 873-2356

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1255975397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 MARQUETTE DR",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199767",
            "telephone_number": "502-216-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E MARKET ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021218",
            "telephone_number": "502-588-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEINENBACH FLINT",
        "first_name": "ANGELA",
        "middle_name": "L",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.