BENJAMIN LANDERS HEADLEY MD
NPI 1386384147
Student in an Organized Health Care Education/Training Program in Lexington, KY

Q: What is Benjamin Headley's NPI number?

The NPI number for Benjamin Headley is 1386384147. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Q: What is Benjamin Headley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Headley was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 30, 2022PECOS Enrolled

2050 VERSAILLES RD, LEXINGTON, KY 40504(859) 257-4888(859) 323-1123 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Benjamin Landers Headley Md NPPES

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

BENJAMIN LANDERS HEADLEY MD (NPI 1386384147) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386384147

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBENJAMIN LANDERS HEADLEYCredential: MD

Location Address2050 VERSAILLES RDLexington, KY 40504-1405

Mailing Address2050 Versailles RdLexington, KY 40504-1405 · (859) 257-4888 · Fax (859) 323-1123

Phone(859) 257-4888

Fax(859) 323-1123

Sole ProprietorNo

Enumeration DateMarch 30, 2022

NPPES CertifiedMarch 30, 2022

✔ NPI 1386384147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2050 VERSAILLES RD, Lexington, KY 40504

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Landers Headley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MEGAN STOECKINGER APRN, DNP

Nurse Practitioner (Acute Care)