Individual provider Active NPI

Talesha D. Leachman, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1679274450
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3019067 Issued in KY
Practice address
734 W Main St Ste 106
Louisville, KY 40202-3622
Phone
(502) 653-5800
Fax
(447) 200-2726
NPI assigned
Mar 17, 2023
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3019067 KY Primary

Addresses

Primary practice location

734 W Main St Ste 106
Louisville, KY 40202-3622

Mailing address

11711 Taylor Rae Dr
Louisville, KY 40229-6500
Phone (502) 472-4353

Other practice location 1

302 E Breckinridge St
Louisville, KY 40203-2328
Phone (502) 561-1112

Other practice location 2

11711 Taylor Rae Dr
Louisville, KY 40229-6500
Phone (502) 472-4353

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
I20230609000867 KY Practitioner - Nurse Practitioner 8022475896 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Better You Behavioral Health Services, LLC Psychiatric/Mental Health CurrentSince Mar 14, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Apr 17, 2024 Accepting new patients
Associates in Behavioral Health PSC CurrentSince Apr 12, 2023 Accepting new patients
Signify Health, LLC CurrentSince Feb 26, 2026 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Mar 10, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

302 E Breckinridge St
Louisville, KY 40203
Phone (502) 561-1112

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

734 W Main St
Ste 106
Louisville, KY 40202
Phone (502) 653-5800

Organizations & group practices 5

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": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1679274450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 TAYLOR RAE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402296500",
            "telephone_number": "502-472-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 W MAIN ST STE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023622",
            "telephone_number": "502-653-5800",
            "fax_number": "447-200-2726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 E Breckinridge St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402032328",
            "country_code": "US",
            "telephone_number": "502-561-1112",
            "fax_number": "502-561-1113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11711 Taylor Rae Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402296500",
            "country_code": "US",
            "telephone_number": "502-472-4353",
            "fax_number": "447-200-2726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEACHMAN",
        "first_name": "TALESHA",
        "middle_name": "D.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3019067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.