Lexi Lillian McClanahan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

6001 Claymont Village Dr Ste 2
Crestwood, KY 40014-6554

Phone

(502) 805-6448

NPI assigned

Jul 13, 2023

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2023.

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1831878339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 BARDSTOWN RD APT C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051191",
            "telephone_number": "740-507-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 CLAYMONT VILLAGE DR STE 2",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400146554",
            "telephone_number": "502-805-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "LEXI",
        "middle_name": "LILLIAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lohr, CF-SLP
• Joseph Lyons, DPT
• Mark Listens PLLC
• Tara Adams Mason
• Amanda Lynn Mattera
• Fay C McCutchan, LCSW
• Patricia Jane McInerney, PT
• Sean Denelle McMillin, RNFA
• Larry Dale Melton, MD
• Richard William Menard, PHARMD

• All providers in Crestwood, KY
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.