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NPI Code Detail

MEDICARE: NULEASE MEDICAL SOLUTIONS LLC

MEDICARE: NULEASE MEDICAL SOLUTIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner
22084A0401XAddiction Medicine (Psychiatry & Neurology) Physician
3101YA0400XAddiction (Substance Use Disorder) Counselor
41041C0700XClinical Social Worker
52084P0800XPsychiatry Physician
6101YP2500XProfessional Counselor
7207RA0401XAddiction Medicine (Internal Medicine) Physician
8207QA0401XAddiction Medicine (Family Medicine) Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
350126591OTHERKYPASSPORT
4000001064305OTHERKYANTHEM
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194254219
Entity Type Code : Organization
Provider Name (Legal Business Name) : NULEASE MEDICAL SOLUTIONS LLC
Provider Business Mailing Address
First Line : 5722 OUTER LOOP
Second Line :
City : LOUISVILLE
State : KY
Zip : 40219-4156
Country : US
Telephone Number : 502-492-7455
Fax Number : 502-921-0222
Provider Business Practice Location Address
First Line : 5722 OUTER LOOP
Second Line :
City : LOUISVILLE
State : KY
Zip : 40219-4156
Country : US
Telephone Number : 502-492-7455
Fax Number : 502-921-0222
Authorized Official
Title or Position : OWNER
Name : SHANNON CALES
Credential :
Telephone Number : 502-492-7455
Provider Enumeration Date : 06/12/2017
Last Update Date : 02/25/2026

Similar Medicare Providers

1619932084 — RICHARD H CALES M.D.
Practice Location Address:
5722 OUTER LOOP
LOUISVILLE, KY
40219-4156
Practice Phone: 502-492-7455
Practice Fax: 502-921-0222
1124295852 — MARISA L CRENSHAW APRN
Practice Location Address:
5722 OUTER LOOP
LOUISVILLE, KY
40219-4156
Practice Phone: 502-921-0222
Practice Fax: 502-921-0222
1689225724 — SHANNON CALES
Practice Location Address:
5722 OUTER LOOP
LOUISVILLE, KY
40219-4156
Practice Phone: 502-492-7455
Practice Fax: 502-921-0222
1902404478 — TRACY PENNINGTON LCSW
Practice Location Address:
5722 OUTER LOOP
LOUISVILLE, KY
40219-4156
Practice Phone: 502-492-7455
Practice Fax: 502-921-0222
1336732858 — NULEASE PAIN MANAGEMENT LLC
Practice Location Address:
5720 OUTER LOOP
LOUISVILLE, KY
40219-4156
Practice Phone: 502-492-7455
Practice Fax:
1184297483 — NULEASE MEDICAL SOLUTIONS LLC
Practice Location Address:
5722 OUTER LOOP
LOUISVILLE, KY
40219-4156
Practice Phone: 502-492-7455
Practice Fax: 502-921-0222

Directions to “NULEASE MEDICAL SOLUTIONS LLC ” Practice Location

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