Individual provider Active NPI

Leah Beth Chicunque

  • Pediatrics Physician
  • Ashland, KY
National Provider Identifier
1730612409
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
53995 Issued in KY
Practice address
617 23Rd St Ste 212
Ashland, KY 41101-2883
Phone
(606) 408-8485
NPI assigned
Apr 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.137152 OH
Pediatrics Physician 208000000X 53995 KY Primary

Addresses

Primary practice location

617 23Rd St Ste 212
Ashland, KY 41101-2883

Mailing address

PO Box 1595
Ashland, KY 41105-1595

Other practice location 1

2301 Lexington Ave Ste 125
Ashland, KY 41101-2800
Phone (606) 408-6400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lchicunque73980@direct.kdhealth.us Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211129002727 KY Practitioner - Pediatric Medicine 0941624860 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Hospital Corporation CurrentSince Dec 1, 2021 Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

2301 Lexington Ave
Ste 125
Ashland, KY 41101
Phone (606) 325-2721

Interoperability endpoints

  • Direct secure messaging: lchicunque73980@direct.kdhealth.us

Organizations & group practices 2

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": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1730612409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 23RD ST STE 212",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012883",
            "telephone_number": "606-408-8485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Lexington Ave Ste 125",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411012800",
            "country_code": "US",
            "telephone_number": "606-408-6400",
            "fax_number": "606-408-6770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHICUNQUE",
        "first_name": "LEAH",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-09",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.137152",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "53995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lchicunque73980@direct.kdhealth.us",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TXT",
            "address_1": "2301 Lexington Ave Ste 125",
            "city": "Ashland",
            "state": "KY",
            "country_code": "US",
            "postal_code": "411012800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.