Individual provider Active NPI

Leeann McKenna Spivey, APRN

  • Family Nurse Practitioner
  • Lawrenceburg, KY
National Provider Identifier
1902207301
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008966 Issued in KY
Practice address
512 Saffell St
Lawrenceburg, KY 40342-1253
Phone
(502) 839-1231
Fax
(502) 227-1114
NPI assigned
Sep 4, 2014
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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 3008966 KY Primary

Addresses

Primary practice location

512 Saffell St
Lawrenceburg, KY 40342-1253

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (502) 864-1472

Other identifiers 1

IdentifierTypeStateIssuer
7100319130MedicaidKY

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
I20141104001276 KY Practitioner - Nurse Practitioner 4789806944 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3008966KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Family Medical Center Inc CurrentSince Sep 11, 2018 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Sep 11, 2018 Accepting new patients
Cumberland Family Medical Center Inc Past Accepting new patients

Locations

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

197 Will Walker Rd
Columbia, KY 42728
Phone (270) 384-9981

383 Lancaster St
Crab Orchard, KY 40419
Phone (270) 858-6655

328 Shelby St
Frankfort, KY 40601
Phone (502) 875-8655

512 Saffell St
Lawrenceburg, KY 40342
Phone (502) 839-1231

1154 Bypass N
Lawrenceburg, KY 40342
Phone (502) 839-2504

1411 Fox Creek Rd
Lawrenceburg, KY 40342
Phone (502) 839-2500

1150 Bypass N
Lawrenceburg, KY 40342
Phone (502) 839-4236

1 Mustang Trl
Lawrenceburg, KY 40342
Phone (502) 839-9261

210 Saffell St
Lawrenceburg, KY 40342
Phone (502) 839-3565

1 Bearcat Dr
Lawrenceburg, KY 40342
Phone (502) 839-5118

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.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1902207301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "502-864-1472",
            "fax_number": "270-858-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 SAFFELL ST",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403421253",
            "telephone_number": "502-839-1231",
            "fax_number": "502-227-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "LEEANN",
        "middle_name": "MCKENNA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100319130",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, KY

Sources for this page

Verify at the official NPI Registry.