Individual provider Active NPI

Leanne Sims Tooley, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1518589563
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016397 Issued in KY
Practice address
1320 Andrea St
Bowling Green, KY 42104-3334
Phone
(270) 746-5455
NPI assigned
May 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Registered Nurse 163WN0300X 1149719 KY
Family Nurse Practitioner 363LF0000X 3016397 KY Primary

Addresses

Primary practice location

1320 Andrea St
Bowling Green, KY 42104-3334

Mailing address

460 Old Nashville Loop 3 Rd
Woodburn, KY 42170-9603
Phone (270) 779-9301

Other practice location 1

262 Natchez Trace Ave
Bowling Green, KY 42103-7995
Phone (270) 842-2154

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
I20220707001359 KY Practitioner - Nurse Practitioner 2769862879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tim Long MD PSCGroup PAC ID 7810968104, 3 clinicians

Practice addresses (Care Compare)

1320 Andrea St
Bowling Green, KY 42104-3334
Phone (270) 746-5455

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1149719KYMDNephrology Registered Nurse
3016397KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tim Long M.D., PSC CurrentSince Mar 11, 2022 Accepting new patients
Bio-Medical Applications of Kentucky, Inc. PastSince May 1, 2020 Accepting new patients
Bio-Medical Applications of Kentucky, Inc. PastSince May 1, 2020 Accepting new patients
NP Group of Tim Long MD PSC Family PastSince Dec 21, 2021 Accepting new patients

Locations

1320 Andrea St
Bowling Green, KY 42104
Phone (270) 746-5455

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBCCBA

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1518589563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 OLD NASHVILLE LOOP 3 RD",
            "city": "WOODBURN",
            "state": "KY",
            "postal_code": "421709603",
            "telephone_number": "270-779-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 ANDREA ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043334",
            "telephone_number": "270-746-5455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "262 Natchez Trace Ave",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421037995",
            "country_code": "US",
            "telephone_number": "270-842-2154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOOLEY",
        "first_name": "LEANNE",
        "middle_name": "SIMS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nephrology",
            "state": "KY",
            "license": "1149719",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.