Individual
LEEANN RACHELLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5921 W STATE ROAD 46, BLOOMINGTON, IN 47404-9359
(812) 935-8866
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.022118
IL
363LF0000X
Family Nurse Practitioner
Primary
28216246A
IN
363LF0000X
Family Nurse Practitioner
3014858
KY
363LF0000X
Family Nurse Practitioner
71010017A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001373756
ANTHEM PROVIDER ID NUMBER
—
01
—
2234405
WELLCARE OF KENTUCKY PROVIDER ID NUMBER
KY
01
—
284847
SIHO PROVIDER ID NUMBER
—
05
—
300037929
—
IN
01
—
3014858
STATE LICENSE
KY
01
—
6246517
AETNA PROVIDER ID NUMBER
—
05
—
7100668200
—
KY
01
—
7427472
UNITED HEALTHCARE PROVIDER ID NUMBER
—
01
—
CS2020500316
CARESOURCE PROVIDER ID NUMBER
—
01
—
PDZ000000500406
AETNA BETTER HEALTH OF KENTUCKY PROVIDER ID NUMBER
KY
Enumeration date
05/05/2020
Last updated
02/20/2024
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