Judy Lynn Kantlehner, APRN
Individual provider Active NPI Family Nurse Practitioner · Lebanon, KY
NPI 1801877352 · NPPES record last updated Jun 17, 2013
Key facts
- NPI
- 1801877352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3002011 (KY)
- Practice address
- 325 W Walnut St
Ste 600
Lebanon, KY 40033-1377 - Phone
- (270) 699-9500
- Fax
- (270) 699-9550
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family and Internal Medicine Associates PLLC
VMD Primary Providers Central Kentucky
Practice addresses (Care Compare)
325 W Walnut
Suite 600
Lebanon, KY 40033-1378
325 W Walnut St
Lebanon, KY 40033-1378
Phone (270) 699-9500
Hospital & facility affiliations
- Spring View Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050803000515 | KY | Practitioner - Nurse Practitioner | 9234167834 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3002011 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Medical Center Inc | Family | Current | Accepting new patients |
| Hardin Professional Services, LLC | Family | Past | Accepting new patients |
| Lexington Primary Care LLC | Family | Past |
Accepting new patients |
Locations
1000 S 12th St
Murray, KY 42071
Phone (270) 759-9200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2011P | KY | |
| Family Nurse Practitioner | 363LF0000X | 3002011 | KY | Yes |
Addresses
Primary practice location
325 W Walnut St
Ste 600
Lebanon, KY 40033-1377
Mailing address
325 W Walnut St
Ste 600
Lebanon, KY 40033-1377
Phone (270) 699-9500
Other providers in Lebanon, KY
- Hometown Smiles Dentistry and Orthodontics
- Hope
- Daniel Vern Hunt
- Joseph Kelly Johnson
- Terry Johnson
- Kentucky Nephrology Services, LLC
- Kentucky Orthopedic Rehabilitation LLC
- Kevin J. Croce, MD
- Gail L King
- Savannah Marie King
All providers in Lebanon, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.