Individual provider Active NPI

Bailey Leavell, APRN

  • Family Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1326416637
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20461 Issued in TN
Practice address
4235 Fort Campbell Blvd
Hopkinsville, KY 42240-9339
Phone
(270) 885-8445
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009699 KY
Family Nurse Practitioner 363LF0000X 20461 TN Primary

Addresses

Primary practice location

4235 Fort Campbell Blvd
Hopkinsville, KY 42240-9339

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other identifiers 1

IdentifierTypeStateIssuer
7100389630MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bailey-leavell@vanderbiltpediatricassociates.e-mdsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170606002007 KY Practitioner - Nurse Practitioner 1153698592 Reassigns benefits to 2 organizations
I20210709000653 TN Practitioner - Nurse Practitioner 1153698592 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt Integrated Providers, LLC Family CurrentSince Feb 5, 2021 Accepting new patients
Brock Medical, LLC CurrentSince Apr 23, 2017 Accepting new patients
Vanderbilt Integrated Providers, LLC CurrentSince Feb 5, 2021 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Apr 23, 2017 Accepting new patients

Locations

15100 N US Highway 25 E
Ste 1
Corbin, KY 40701
Phone (606) 261-2054

4235 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 560-0075

1717 High St
Ste 3A
Hopkinsville, KY 42240
Phone (270) 885-8445

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

1400 Willow Dr
Manchester, TN 37355
Phone (931) 409-2194

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871

1440 Cedar Ln
Ste 100
Tullahoma, TN 37388
Phone (931) 393-7060

Interoperability endpoints

  • Direct secure messaging: bailey-leavell@vanderbiltpediatricassociates.e-mdsdirect.com
  • Direct secure messaging: bleavell424302@direct.vumc.org

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1326416637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "fax_number": "615-322-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 FORT CAMPBELL BLVD",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422409339",
            "telephone_number": "270-885-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVELL",
        "first_name": "BAILEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009699",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100389630",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bailey-leavell@vanderbiltpediatricassociates.e-mdsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4235 Fort Campbell Blvd",
            "city": "Hopkinsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "422409339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.