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

NPI Status: Active since June 15, 2006

Contact Information

908 WALLACE AVE
LEITCHFIELD, KY
ZIP 42754
Phone: (270) 259-1626
Fax: (270) 259-9582

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  • Organization
  • Nurse Practitioner

About TWIN LAKES MEDICAL FOUNDATION INC

This page provides the complete NPI Profile along with additional information for Twin Lakes Medical Foundation Inc, a provider established in Leitchfield, Kentucky operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1205870862 assigned on June 2006. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Twin Lakes Medical Foundation Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Deneace Clemons (Coo)

NPI
1205870862
Provider Name
TWIN LAKES MEDICAL FOUNDATION INC
Entity Type
Organization
Location Address
908 WALLACE AVE LEITCHFIELD, KY 42754
Location Phone
(270) 259-1626
Location Fax
(270) 259-9582
Mailing Address
908 WALLACE AVE LEITCHFIELD, KY 42754
Mailing Phone
(270) 259-1626
Mailing Fax
(270) 259-9582
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2006
Last Update Date
12-09-2019
Code Navigator

A nurse practitioner (NP) like Twin Lakes Medical Foundation Inc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 910 Wallace Ave
    Leitchfield, KY 42754
    (270) 259-2700
  • 1003 N Dixie Ave
    Elizabethtown, KY 42701
    (270) 230-0212
  • 301 Sunset Dr
    Caneyville, KY 42721
    (270) 879-3711
  • 9847 Elizabethtown Rd
    Big Clifty, KY 42712
    (270) 242-2000
  • 912 Wallace Ave
    Leitchfield, KY 42754
    (270) 259-9316
  • 1895 Elizabethtown Rd
    Leitchfield, KY 42754
    (270) 230-0182
  • 207 Fairgrounds Rd
    Hardinsburg, KY 40143
    (270) 230-0124
  • 1573 Ky Highway 259 N
    Brownsville, KY 42210
    (270) 259-3035

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207QS0010XAllopathic & Osteopathic Physicians

Family Medicine
Sports Medicine

 
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
4207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
5207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
6207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 
7208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
82084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 
9208600000XAllopathic & Osteopathic Physicians

Surgery

 
10208D00000XAllopathic & Osteopathic Physicians

General Practice

 
11231H00000XSpeech, Language and Hearing Service Providers

Audiologist

 
12363LA2200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Adult Health

 
13363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 
14363LP2300XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Primary Care

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DENEACE CLEMONS

Authorized Official Title
COO
Authorized Official Phone
(270) 259-1626

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
65937930MEDICAID (05)KY 
7100118990MEDICAID (05)KY 
7100124530MEDICAID (05)KY 
65923997MEDICAID (05)KY 
7100011670MEDICAID (05)KY 
65943045MEDICAID (05)KY 
70900162MEDICAID (05)KY 
7100566530MEDICAID (05)KY 
78903556MEDICAID (05)KY 
65937047MEDICAID (05)KY 
7100072530MEDICAID (05)KY 
7100086880MEDICAID (05)KY 
65939019MEDICAID (05)KY 
7100161750MEDICAID (05)KY 
7100630070MEDICAID (05)KY 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205870862, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 6 + 7 + 0 + 8 + 1 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1205870862.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
908 WALLACE AVE
LEITCHFIELD, KY 42754
Pharmacist
908 WALLACE AVE, SUITE 105
LEITCHFIELD, KY 42754
Pharmacist
908 WALLACE AVE, SUITE 105, MIDWAY PHARMACY
LEITCHFIELD, KY 42754
Internal Medicine
908 WALLACE AVE, SUITE 203
LEITCHFIELD, KY 42754
Pharmacy (Community/Retail Pharmacy)
908 WALLACE AVE, SUITE 105
LEITCHFIELD, KY 42754
Pediatrics
908 WALLACE AVE, SUITE 108
LEITCHFIELD, KY 42754
Nurse Practitioner (Family)
908 WALLACE AVE
LEITCHFIELD, KY 42754
Orthopaedic Surgery
908 WALLACE AVE
LEITCHFIELD, KY 42754
Family Medicine (Sports Medicine)
908 WALLACE AVE
LEITCHFIELD, KY 42754
Family Medicine
908 WALLACE AVE
LEITCHFIELD, KY 42754
Nurse Practitioner (Family)
908 WALLACE AVE
LEITCHFIELD, KY 42754

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205870862, enumerated as an "organization" on June 15, 2006.

The provider is located at 908 WALLACE AVE LEITCHFIELD, KY 42754 and the phone number is (270) 259-1626.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.