TWIN LAKES MEDICAL FOUNDATION INC
NPI 1205870862
Nurse Practitioner in Leitchfield, KY

Q: What is Twin Lakes Medical Foundation Inc's NPI number?

The NPI number for Twin Lakes Medical Foundation Inc is 1205870862. It was assigned to this organization in the NPPES registry on June 15, 2006.

Q: What is Twin Lakes Medical Foundation Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 15, 2006

908 WALLACE AVE, LEITCHFIELD, KY 42754(270) 259-1626(270) 259-9582 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 9, 2019, Nov 21, 2019, Oct 9, 2019 and 3 more (6 updates tracked since 2018).

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About Twin Lakes Medical Foundation Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TWIN LAKES MEDICAL FOUNDATION INC (NPI 1205870862) is a healthcare organization registered as a nurse practitioner in Leitchfield, Kentucky and active in the NPI registry since June 2006. The organization maintains 8 additional practice locations and lists Deneace Clemons, Coo, as its authorized official.

NPPES Registry Identity

NPI1205870862

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameTWIN LAKES MEDICAL FOUNDATION INC

Location Address908 WALLACE AVELeitchfield, KY 42754-1479

Mailing Address908 Wallace AveLeitchfield, KY 42754-1479 · (270) 259-1626 · Fax (270) 259-9582

Phone(270) 259-1626

Fax(270) 259-9582

Organization SubpartNo

Authorized OfficialDeneace ClemonsCoo · (270) 259-1626

Enumeration DateJune 15, 2006

Last NPPES UpdateDecember 9, 20196 updates tracked since enumeration

✔ NPI 1205870862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedSurgeryTaxonomy 208600000X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedAudiologistTaxonomy 231H00000X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

908 WALLACE AVE, Leitchfield, KY 42754

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Secondary Practice Locations 8

Location 11003 N Dixie AveElizabethtown, KY 42701-2521 · Phone (270) 230-0212 · Fax (270) 230-0104

Location 2301 Sunset DrCaneyville, KY 42721-9172 · Phone (270) 879-3711 · Fax (270) 879-8674

Location 3207 Fairgrounds RdHardinsburg, KY 40143-2585 · Phone (270) 230-0124 · Fax (270) 230-0157

Location 49847 Elizabethtown RdBig Clifty, KY 42712-5880 · Phone (270) 242-2000 · Fax (270) 242-2100

Location 51895 Elizabethtown RdLeitchfield, KY 42754-9138 · Phone (270) 230-0182 · Fax (270) 230-0014

Location 6912 Wallace AveLeitchfield, KY 42754-2404 · Phone (270) 259-9316 · Fax (270) 259-6571

Location 7910 Wallace AveLeitchfield, KY 42754-2414 · Phone (270) 259-2700 · Fax (270) 259-2717

Location 81573 Ky Highway 259 NBrownsville, KY 42210-8936 · Phone (270) 259-3035 · Fax (270) 259-3332

Other Identifiers 15

Medicaid65937930KY

Medicaid7100118990KY

Medicaid7100124530KY

Medicaid65923997KY

Medicaid7100011670KY

Medicaid65943045KY

Medicaid70900162KY

Medicaid7100566530KY

Medicaid78903556KY

Medicaid65937047KY

Medicaid7100072530KY

Medicaid7100086880KY

Medicaid65939019KY

Medicaid7100161750KY

Medicaid7100630070KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OWENSBORO HEALTH MEDICAL GROUP, INC

Family Medicine

908 WALLACE AVE
LEITCHFIELD, KY 42754

Grayson County (270) 200-4510

DR. ISAAC DAVID MILLER M.D.

Family Medicine (Sports Medicine)

908 WALLACE AVE
LEITCHFIELD, KY 42754

Grayson County (270) 230-0124

TONY W LEE DO MEDICAL OFFICES, PLLC

Internal Medicine

908 WALLACE AVE, SUITE 203
LEITCHFIELD, KY 42754

Grayson County (270) 230-0111

TED B ROGERS MD

Orthopaedic Surgery

908 WALLACE AVE
LEITCHFIELD, KY 42754

Grayson County (270) 230-0124

ELIZABETH S STIVERS M.D.

Pediatrics

908 WALLACE AVE, SUITE 108
LEITCHFIELD, KY 42754

Grayson County (270) 259-5641

ASHLEY NICOLE FLENER APRN

Nurse Practitioner (Family)

908 WALLACE AVE
LEITCHFIELD, KY 42754

Grayson County (270) 200-4510

DR. ROBERT CARROLL GOODMAN JR. PHARMD., BCPS

Pharmacist

908 WALLACE AVE, SUITE 105, MIDWAY PHARMACY
LEITCHFIELD, KY 42754

Grayson County (270) 259-8400

JENNIFER HUGHES APRN

Nurse Practitioner (Family)

908 WALLACE AVE
LEITCHFIELD, KY 42754

Grayson County (270) 259-8888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Twin Lakes Medical Foundation Inc's NPI number?

The NPI number for Twin Lakes Medical Foundation Inc is 1205870862. It was assigned to this organization in the NPPES registry on June 15, 2006.

Where is Twin Lakes Medical Foundation Inc located?

Twin Lakes Medical Foundation Inc is located at 908 Wallace Ave, Leitchfield, KY 42754. The listed phone number is (270) 259-1626.

What is Twin Lakes Medical Foundation Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Twin Lakes Medical Foundation Inc was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.