KIMBERLY ELLEN LEAKE (NPI# 1033557848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033557848 |
| Entity Type | Individual |
| Full Name | KIMBERLY ELLEN LEAKE |
| Credential | MD |
| Practice Address |
550 S Jackson St Fl 3 Louisville KY 40202 |
| Mailing Address |
Po Box 909 Louisville KY 40201-0909 |
| Practice Telephone | 5028525241 |
| Mailing Telephone | 5025884720 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
49311 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300017915 | 05 | |
| KY | 7100307820 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 S Jackson St Fl 3, Louisville, KY 40202 | 5028525241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881225985 | Kimberly Flower Leake | Social Worker | 27 Dogwood Hollow Ln, Miller Place, NY 11764-1709 | 2020-01-28 |
| 1013284660 | Kimberly Leake | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2011-11-28 |
| Street Address |
550 S JACKSON ST FL 3 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699085233 | Barbra Ann Cave | Nurse Practitioner | 550 S Jackson St Fl 3, Louisville, KY 40202-1622 | 2010-10-18 |
| 1447889340 | Brandon Haldane Busch | Student in an Organized Health Care Education/Training Program | 550 S Jackson St Fl 3, Louisville, KY 40202-1622 | 2020-04-03 |
| 1477181337 | Saiteja Chava | Student in an Organized Health Care Education/Training Program | 550 S Jackson St Fl 3, Louisville, KY 40202-1622 | 2020-03-27 |
| 1881250942 | Tanvir Fayaz Kabir | Student in an Organized Health Care Education/Training Program | 550 S Jackson St Fl 3, Louisville, KY 40202-1622 | 2019-05-14 |
| 1972167732 | Harrison Matthew Falwell | Student in an Organized Health Care Education/Training Program | 550 S Jackson St Fl 3, Louisville, KY 40202-1622 | 2019-04-26 |
| 1710449921 | Viral Kalpen Desai | Student in an Organized Health Care Education/Training Program | 550 S Jackson St Fl 3, Louisville, KY 40202-1622 | 2019-04-05 |
| 1447712310 | Ryan Richard Hosking | Student in an Organized Health Care Education/Training Program | 550 S Jackson St Fl 3, Louisville, KY 40202-1622 | 2019-04-01 |
| 1932660958 | Alex Jamison Rider | Student in an Organized Health Care Education/Training Program | 550 S Jackson St Fl 3, Louisville, KY 40202-1622 | 2019-03-31 |
| 1780145219 | Matthew Alexander Heckroth | Student in an Organized Health Care Education/Training Program | 550 S Jackson St Fl 3, Louisville, KY 40202 | 2019-03-27 |
| 1669932729 | Armando Bosch | Student in an Organized Health Care Education/Training Program | 550 S Jackson St Fl 3, Louisville, KY 40202-1622 | 2019-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346472750 | Louisville Palliative Care LLC | Internal Medicine | 3625 Fern Valley Road, Louisville, KY 40219-1916 | 2009-08-18 |
| 1912129552 | Staci A Mandrola | Internal Medicine | 7504 Westport Rd, Louisville, KY 40222-4108 | 2007-05-03 |
| 1306344395 | Community Medical Associates, Inc. | Internal Medicine | 1930 Bishop Ln Ste 1017, Louisville, KY 40218-1933 | 2018-01-25 |
| 1134453582 | Partners In Palliative Care Pllc | Internal Medicine | 7504 Westport Rd, Louisville, KY 40222-4108 | 2009-10-01 |
| 1104846419 | Health Alliance Inc | Internal Medicine | 506 W Main St, Louisville, OH 44641-1310 | 2006-07-20 |
| 1881628857 | Lori Anne Earnshaw | Internal Medicine | 3532 Ephraim Mcdowell Dr, Louisville, KY 40205-3224 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033320619 | Charles Kenny Maffet | Internal Medicine | 105 Diecks Dr, Elizabethtown, KY 42701-2444 | 2007-05-24 |
| 1104879105 | Hospice Care Plus, Inc | Internal Medicine | 208 Kidd Dr, Berea, KY 40403-9593 | 2006-05-18 |
| 1366742256 | Hospice of Southern Kentucky Inc | Internal Medicine | 5872 Scottsville Rd, Bowling Green, KY 42104-7853 | 2010-10-26 |
| 1285814400 | Melanie Tirronen Farrell | Internal Medicine | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 | 2007-11-05 |
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on KIMBERLY ELLEN LEAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.