Individual provider Active NPI

Timothy Richard Leuenberger, ARNP

  • Family Nurse Practitioner
  • Flemingsburg, KY
National Provider Identifier
1851623730
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3707P Issued in KY
Practice address
101 JB Shannon Dr
Suite a
Flemingsburg, KY 41041-9812
Phone
(606) 209-0020
Fax
(606) 209-0022
NPI assigned
Feb 3, 2010
Last updated
Jan 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3707P KY Primary

Addresses

Primary practice location

101 JB Shannon Dr
Suite a
Flemingsburg, KY 41041-9812

Mailing address

1350 Flemingsburg Rd
Morehead, KY 40351-1810
Phone (606) 784-1115

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
I20110318000328 KY Practitioner - Nurse Practitioner 2769665447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
W. Michael Spurlock, D.C., P.S.C. CurrentSince Feb 12, 2011 Accepting new patients
Kentucky Em-I Medical Services PSC CurrentSince Sep 1, 2025 Accepting new patients
Kentucky Em-I Medical Services PSC CurrentSince Sep 1, 2025 Accepting new patients

Locations

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

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

101 Jb Shannon Dr
Ste A
Flemingsburg, KY 41041
Phone (606) 209-0020

1350 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 462-8016

247 Beacon Hill Rd
Morehead, KY 40351
Phone (606) 784-1115

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1851623730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 FLEMINGSBURG RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511810",
            "telephone_number": "606-784-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JB SHANNON DR",
            "address_2": "SUITE A",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410419812",
            "telephone_number": "606-209-0020",
            "fax_number": "606-209-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUENBERGER",
        "first_name": "TIMOTHY",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-03",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3707P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemingsburg, KY

Sources for this page

Verify at the official NPI Registry.