Nulease Medical Solutions LLC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

NULEASE MEDICAL SOLUTIONS LLC

Practice address

1327 E Broadway St Ste B
Campbellsville, KY 42718-1599

Phone

(270) 283-4240

Fax

(270) 283-4556

NPI assigned

Feb 11, 2020

Last updated

Aug 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon CalesNPI 1689225724

Title

Owner

Phone

(502) 492-7455

Specialties & licenses 14

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Nulease Medical Solutions LLC

  • Addiction Medicine (Family Medicine) Physician
  • Louisville, KY
  • NPI 1194254219

  O20181205003187

  Same enrollment

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Cales

  • Registered Respiratory Therapist
  • Louisville, KY
  • NPI 1689225724
  Authorized official Same address or phone
• Jessica A Baird

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
  • NPI 1457681330
  NPD
• Campbell Lane Bishop

  • Emergency Medicine Physician
  • Shelbyville, KY
  • NPI 1962065334

  General Practice

  NPD
• Whitney Black, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
  • NPI 1881373488
  NPD
• Marisa L Crenshaw, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
  • NPI 1124295852
  NPD
• Lacy Brook Ware, ARNP

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1801217898
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1861024424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 OUTER LOOP",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402194156",
            "telephone_number": "502-492-7455",
            "fax_number": "502-921-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 E BROADWAY ST STE B",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181599",
            "telephone_number": "270-283-4240",
            "fax_number": "270-283-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NULEASE MEDICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "CALES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-492-7455"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100713150",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100687420",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100713930",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Narrow Path PSC
• Ashley Chelf Nelson, APRN
• Lesley Renee Newton, C.S.W.
• Dylan Blade Nicholas, KCPSS
• Kelly Suzanne Noel, LMT
• Nulease Rural Health LLC
• Kelli Stearman Nunn, APRN
• Kristy M Nunn
• Adedoyin Okulate, MD
• One Cross Community, Inc.

• Addiction Medicine (Internal Medicine) Physician in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Addiction Medicine (Internal Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.