Healthcare Provider Details

I. General information

NPI: 1447326715
Provider Name (Legal Business Name): LEAH C ASHWORTH APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 02/27/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HOSPITAL WAY STE 100
SOMERSET KY
42503-1872
US

IV. Provider business mailing address

350 HOSPITAL WAY
SOMERSET KY
42503-2872
US

V. Phone/Fax

Practice location:
  • Phone: 606-451-2600
  • Fax: 606-451-3896
Mailing address:
  • Phone: 606-451-2601
  • Fax: 833-464-1825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3008988
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-050939
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: